検診施設における上部消化管内視鏡検査偶発症の検討

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  • ANALYSIS OF COMPLICATIONS OF UPPER GASTROINTESTINAL ENDOSCOPY AT AN INSTITUTION FOR CANCER DETECTION

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Background : The introduction of upper gastrointestinal endoscopic examination to gastric mass screening may raise a risk of endoscopic complications. Methods : In order to study the incidence of complications associated with screening endoscopic examination, we analyzed a total of 61, 547 persons having undergone endoscopic checkup for gastric cancer detection from January 1998 to December 2002 in the Cancer Detection Center of Miyagi Cancer Society. Results : Severe complications requiring hospitalization occurred in 8 cases (0.012%) ; 6 sever hemorrhages (0.009%) and 2 perforations (0.003%). In addition, there were 149 cases with mild complications (0.242%), including 138 of mild bleeding (0.224%), 5 of indisposition caused by premedication (0.008%) and other mild complications. Conclusions : These results indicate that the importance of establishing measures to prevent endoscopic complications including careful interview prior to the examination and network systems to take care of patients with any complications after screening endoscopic examination.

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