Complications Following Colonoscopy in a Nationwide Standard Cohort: A Retrospective Case-control Study / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 152-158, 2019.
Article
en Ko
| WPRIM
| ID: wpr-742148
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS: Despite the many reports of colonoscopy complications worldwide, few studies have been performed at the population level in Korea. In this study, a population-based study was performed to evaluate the incidence of post-colonoscopy perforations compared to a control group. METHODS: Between January 2011 and December 2011, data for all cases (age over 45) who underwent a colonoscopy were collected from National Health Insurance Service using a random sampling method. The clinical characteristics and perforation incidence (within 30 days after the colonoscopy) of cases were identified, and cases were then compared with controls who had not undergone a colonoscopy. RESULTS: Among 1,380,000 subjects, 31,177 cases and 62,354 controls were identified. Perforation occurred in 14 patients (0.04%) in the case group and one patient (<0.01%) in the control group (RR, 28.0; 95% CI 3.7–212.9, p<0.001). Subgroup analysis was followed according to the endoscopic procedure, gender and age. In subgroup analysis, colonoscopy-associated perforations occurred more in the therapeutic procedure (RR, 26; 95% CI 1.46–461.46), male (RR, 50; 95% CI 2.96–844.41), and age of 45–60 years (RR, 30; 95% CI 1.71–525.23). CONCLUSIONS: A colonoscopy procedure is related to an increased risk of perforation at the population level. In addition, the therapeutic procedure, male, and age of 45-60 years appeared to be associated with an increased risk of perforation.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Estudios de Casos y Controles
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Incidencia
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Estudios Retrospectivos
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Estudios de Cohortes
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Colonoscopía
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Perforación Intestinal
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Corea (Geográfico)
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Métodos
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Programas Nacionales de Salud
Tipo de estudio:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Humans
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Male
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
The Korean Journal of Gastroenterology
Año:
2019
Tipo del documento:
Article