Colonoscopy-related colonic ischemia
Sinan Sadalla, Andrea Lisotti, Lorenzo Fuccio, Pietro Fusaroli
Abstract
Colonoscopy is a risk factor for colon ischemia. The colon is susceptible to ischemia due to its minor blood flow compared to other abdominal organs; the etiology of colon ischemia after colonoscopy is multifactorial. The causative mechanisms include splanchnic circulation impairment, bowel preparation, drugs used for sedation, bowel wall ischemia due to insufflation/barotrauma, and introduction of the endoscope. Gastroenterologists must be aware of this condition and its risk factors for risk minimization, early diagnosis, and proper treatment.
Topics & Concepts
ColonoscopyMedicineIschemiaEtiologySplanchnicEndoscopeInternal medicineGastroenterologyBlood flowSurgeryAnesthesiaColorectal cancerCancerEsophageal and GI PathologyAbdominal vascular conditions and treatmentsAbdominal Surgery and Complications