Current status in the occurrence of postoperative bleeding, perforation and residual/local recurrence during colonoscopic treatment in Japan

Shiro Oka, Shinji Tanaka, Hiroyuki Kanao, Hideki Ishikawa, Toshiaki Watanabe, Masahiro Igarashi, Yutaka Saito, Hiroaki Ikematsu, Kiyonori Kobayashi, Yuji Inoue, Naohisa Yahagi, Sumio Tsuda, Seiji Simizu, Hiroyasu Iishi, Hiroo Yamano, Shin Ei Kudo, Osamu Tsuruta, Satoshi Tamura, Yusuke Saito, Eisai ChoTakahiro Fujii, Yasushi Sano, Hisashi Nakamura, Kenichi Sugihara, Tetsuichiro Muto

Research output: Contribution to journalArticle

91 Citations (Scopus)

Abstract

Bleeding, perforation, and residual/local recurrence are the main complications associated with colonoscopic treatment of colorectal tumor. However, current status regarding the average incidence of these complications in Japan is not available. We conducted a questionnaire survey, prepared by the Colorectal Endoscopic Resection Standardization Implementation Working Group, Japanese Society for Cancer of the Colon and Rectum (JSCCR), to clarify the incidence of postoperative bleeding, perforation, and residual/local recurrence associated with colonoscopic treatment. The total incidence of postoperative bleeding was 1.2% and the incidence was 0.26% with hot biopsy, 1.3% with polypectomy, 1.4% with endoscopic mucosal resection (EMR), and 1.7% with endoscopic submucosal dissection (ESD). The total incidence of perforation was 0.74% (0.01% with the hot biopsy, 0.17% with polypectomy, 0.91% with EMR, and 3.3% with ESD). The total incidence of residual/local recurrence was 0.73% (0.007% with hot biopsy, 0.34% with polypectomy, 1.4% with EMR, and 2.3% with ESD). Colonoscopic examination was used as a surveillance method for detecting residual/local recurrence in all hospitals. The surveillance period differed among the hospitals; however, most of the hospitals reported a surveillance period of 3-6 months with mainly transabdominal ultrasonography and computed tomography in combination with the colonoscopic examination.

Original languageEnglish
Pages (from-to)376-380
Number of pages5
JournalDigestive Endoscopy
Volume22
Issue number4
DOIs
Publication statusPublished - 2010 Oct 1
Externally publishedYes

Keywords

  • colorectal endoscopic resection
  • perforation
  • postoperative bleeding
  • residual/local recurrence

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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  • Cite this

    Oka, S., Tanaka, S., Kanao, H., Ishikawa, H., Watanabe, T., Igarashi, M., Saito, Y., Ikematsu, H., Kobayashi, K., Inoue, Y., Yahagi, N., Tsuda, S., Simizu, S., Iishi, H., Yamano, H., Kudo, S. E., Tsuruta, O., Tamura, S., Saito, Y., ... Muto, T. (2010). Current status in the occurrence of postoperative bleeding, perforation and residual/local recurrence during colonoscopic treatment in Japan. Digestive Endoscopy, 22(4), 376-380. https://doi.org/10.1111/j.1443-1661.2010.01016.x