Colonoscopy complications

Revision as of 20:00, 17 September 2019 by ClaireLewis (talk | contribs)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)


  • Over 85% of the serious colonoscopy complications are reported in patients undergoing colonoscopy with polypectomy (7-fold increase)[1]

Clinical Features

Differential Diagnosis

Undifferentiated lower gastrointestinal bleeding

Diffuse Abdominal pain


  • CBC
  • Coags, T&S if bleeding
  • CXR for free air if concern for perforation
  • CT abdomen/pelvis (if presentation concerning for intra-abdominal bleed, infection, or perforation)


  • PRBC transfusion, reverse coagulopathy if significant bleed
  • Surgery (or IR) consult for possible laparotomy if concern for intra-abdominal bleed, perforation, or abscess
  • Antibiotics if concern for perforation or infection


See Also

External Links


  1. Complications of colonoscopy. GASTROINTESTINAL ENDOSCOPY Volume 74, No. 4 : 2011