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Low Rates of Gastrointestinal and Non-Gastrointestinal Complications for Screening or Surveillance Colonoscopies in a Population-Based Study Louise Wang, Ajitha Mannalithara, Gurkirpal Singh, Uri Ladabaum Gastroenterology Volume 154, Issue 3, Pages e8 (February 2018) DOI: /j.gastro Copyright © 2018 AGA Institute Terms and Conditions
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Gastroenterology 2018 154, 540-555. e8DOI: (10. 1053/j. gastro. 2017
Copyright © 2018 AGA Institute Terms and Conditions
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Figure 1 Crude rates (and 95% CIs) of selected severe GI and non-GI complications after colonoscopy, by procedure subtype, and after non-colonoscopy comparators presumed to have low systemic risk. For colonoscopy, “diagnostic” signifies without biopsy/polypectomy/intervention, and “intervention” signifies with biopsy/polypectomy/intervention. Serious GI complication rates were higher after colonoscopy than after comparator procedures, as might be expected. Serious non-GI complications tended not to be higher after screening/surveillance colonoscopy than after comparator procedures. Adjusted odds ratios are shown in Table 4. Gastroenterology , e8DOI: ( /j.gastro ) Copyright © 2018 AGA Institute Terms and Conditions
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Figure 2 Post-colonoscopy complications by age. Patient age groups younger and older than the 50–59 years reference group had higher odds of post-colonoscopy complications, in particular GI complications, except for cardiac and cerebrovascular complications, which increased progressively with age. The fact that most colonoscopies in those under age 50 were likely prompted by lower GI symptoms and possible underlying serious GI disease, such as inflammatory bowel disease, may explain the higher complication rates in this younger group. Gastroenterology , e8DOI: ( /j.gastro ) Copyright © 2018 AGA Institute Terms and Conditions
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