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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Videos

Splenic injury after colonoscopy.

C R Petersen1, S Adamsen, P Gocht-Jensen

  • 1The Patient Insurance Association, Copenhagen, Denmark.

Endoscopy
|December 7, 2007
PubMed
Summary

Splenic injury after colonoscopy is a rare but serious complication, often occurring after a symptom-free interval. Increased reporting suggests it may be under-recognized, highlighting the need for patient awareness and improved endoscopic techniques.

Related Experiment Videos

Area of Science:

  • Gastroenterology
  • Medical Complications
  • Patient Safety

Background:

  • Splenic injury is a rare but severe complication of colonoscopy.
  • The mechanism often involves tension on the splenocolic ligament and adhesions.
  • Seven of eight identified cases occurred after the year 2000.

Purpose of the Study:

  • To investigate the incidence and characteristics of splenic injury following colonoscopy.
  • To raise awareness of this potentially lethal complication.
  • To identify risk factors and suggest preventive measures.

Main Methods:

  • Retrospective review of compensation claims submitted to the Danish Patient Insurance Association (1992-2006).
  • Analysis of eight cases of splenic injury post-colonoscopy.
  • Consideration of colonoscopy procedural details and patient outcomes.

Main Results:

  • Eight cases of splenic injury were identified, with seven reported post-2000.
  • Most affected patients were aged 65 years or older.
  • All patients experienced a symptom-free interval before presenting with splenic rupture, significant hemoperitoneum, and two postoperative deaths.

Conclusions:

  • Splenic injury following colonoscopy, though rare, appears to be under-reported and potentially increasing.
  • Preventive strategies include meticulous colonoscopic technique, avoiding loops and excessive force.
  • Enhanced patient information regarding post-procedure symptoms, including delayed onset, is crucial.