Max Rady College of Medicine
Concept: Complications from a Gastrointestinal Endoscopy (GIE) Procedure
Concept Description
Last Updated: 2022-08-15
Introduction
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Gastrointestinal Endoscopy (GIE) procedures are performed for a variety of reasons, including to screen individuals who are potentially at risk for colorectal cancer (CRC) or other gastrointestinal cancers, and to diagnose and monitor individuals who have gastrointestinal conditions such as inflammatory bowel disease (IBD).
In Lix et al. (2021), they investigated GIE procedures in Manitoba with an aim to provide insights about the patient, physician, and procedure characteristics associated with trends in utilization, wait times, and procedure outcomes. Although rare, one of these outcomes is the potential complications that arise within seven and 30 days after a GIE procedure.
Data Sources
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The data source used to identify complications from a GIE Procedure is the
Hospital Abstracts
data.
Complications from a GIE Procedure
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The following is a list of complications from a GIE procedure that were identified and investigated in
Lix et al. (2021).
The list of complications is divided into four different tables: gastrointestinal perforations, cardiac complications, cerebrovascular complications and pulmonary complications, and includes the ICD / CCI codes used to identify each complication.
NOTE: The list of these codes can be found on-line in Appendix 3: Appendix Table 3.4 Diagnosis and procedure codes for complications of a GIE procedure of the deliverable. The original tables presented in the deliverable have been modified and re-organized in this concept presentation.
1. Gastrointestinal Perforations
Perforation of intestine Non-traumatic perforation of intestine Accidental puncture and laceration during a procedure, not elsewhere classified Accidental puncture and laceration during a procedure, not elsewhere classified Accidental cut or hemorrhage during medical care - other specified Accidental cut - Other specified medical care Accidental cut or hemorrhage during medical care - unspecified Accidental cut - Unspecified medical care Accidental cut or hemorrhage during endoscopic examination Accidental cut - Endoscopic examination 2. Cardiac Complications
Diseases of the mitral valve Rheumatic mitral valve diseases Diseases of the aortic valve Rheumatic aortic valve diseases Diseases of the mitral and aortic valves Rheumatic disorders of both mitral and aortic valves Diseases of other endocardial structures Rheumatic tricuspid valve diseases Multiple valve diseases Nonrheumatic tricuspid valve disorders Pulmonary valve disorders Endocarditis, valve unspecified Endocarditis and heart valve disorders in diseases classified elsewhere Rheumatic heart failure (congestive) Rheumatic heart disease, unspecified Hypertensive HD malignant with congestive heart failure Malignant hypertension Hypertensive HD benign with congestive heart failure Benign hypertension Hypertensive HD unspecified with congestive heart failure Hypertensive heart disease Hypertensive heart and renal disease, malignant, CKD stage V or end stage Hypertensive heart and renal disease Hypertensive heart and renal disease, benign, CKD stages I through IV Hypertensive heart and renal disease, benign, CKD stage V or end stage Hypertensive heart and renal disease, unspecified, CKD stages I through IV Hypertensive heart and renal disease, unspecified, CKD stage V or end stage Acute myocardial infarction Acute myocardial infarction Other acute and subacute forms of IHD Atherosclerotic heart disease Old myocardial infarction Old myocardial infarction Angina Pectoris Angina Pectoris Other forms of chronic IHD Acute Pulmonary heart disease Pulmonary embolism with mention of acute cor pulmonale Other diseases of the endocardium Atrioventricular block, complete Atrioventricular and left bundle-branch block Atrioventricular block, other and unspecified Nonrheumatic mitral valve disorders Right bundle-branch block Nonrheumatic aortic valve disorders Cardiac dysrhythmias Atrial fibrillation and flutter Atrial fibrillation and flutter Cardiac arrest Cardiac arrest Cardiac dysrhythmia, unspecified Heart failure Heart failure Congestive heart failure, unspecified Left heart failure Systolic heart failure Diastolic heart failure Combined systolic and diastolic heart failure Heart Failure, unspecified Cardiovascular disease unspecified Tachycardia unspecified Tachycardia unspecified Paroxysmal tachycardia Palpitations Palpitations Other cardiac arrhythmias Other complications due to heart valve prosthesis Other specified complications of cardiac and vascular prosthetic devices, implants and grafts Other complications due to other vascular device Unspecified complication of cardiac and vascular prosthetic device, implant and grafts Complications of cardiac and vascular prosthetic devices, implants and grafts Cardiac complications during/resulting from a procedure Cardiac complications (Post procedural disorders of circulatory system, not elsewhere classified) Postprocedural disorder of circulatory system, unspecified Personal history of diseases of the circulatory system Personal history of diseases of the circulatory system
Aortocoronary bypass status Presence of aortocoronary bypass graft Percutaneous transluminal coronary angioplasty status Presence of coronary angioplasty implant and graft Other conduction disorders Dilation, coronary arteries (CCI procedure)
NOTE: * includes all sub-codes3. Cerebrovascular Complications
Classical migraine Migraine Common migraine Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction Occlusion and stenosis of precerebral arteries Cerebral infarction Occlusion of cerebral arteries Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
Acute but ill-defined cerebrovascular disease Other cerebrovascular diseases Other and ill-defined cerebrovascular disease Cerebrovascular disorders in diseases classified elsewhere Late effects of cerebrovascular disease Sequelae of cerebrovascular disease Subarachnoid hemorrhage Subarachnoid hemorrhage Intracerebral hemorrhage Intracerebral hemorrhage Other and unspecified intracranial hemorrhage - nontraumatic extradural Nontraumatic extradural hemorrhage Other and unspecified intracranial hemorrhage - subdural Subdural hemorrhage (acute) (nontraumatic) Other and unspecified intracranial hemorrhage - unspecified Intracranial hemorrhage (nontraumatic), unspecified Stroke, not specified as hemorrhage or infarction Transient cerebral ischemia Transient cerebral ischemic attacks and related syndromes Personal history of diseases of the circulatory system Personal history of diseases of the circulatory system Pyrexia of unknown origin Fever, unspecified
Fever and other physiologic disturbances of temperature regulation Other specified fever Unspecified septicemia Septicemia, unspecified
NOTE: * includes all sub-codes4. Pulmonary Complications
Pneumonitis due to solids and liquids Pneumonitis due to solids and liquids Pneumonitis due to inhalation of food or vomitus Pneumonitis due to inhalation of food or vomitus Respiratory complications, postprocedural aspiration pneumonia Other postprocedural respiratory disorders Respiratory complications, other Postprocedural respiratory disorder, unspecified Pneumonia, organism unspecified Pneumonia, organism unspecified Bronchopneumonia, organism unspecified Acute bronchitis and bronchiolitis Bronchitis, not specified as acute or chronic Simple chronic bronchitis Obstructive chronic bronchitis, with acute exacerbation
Obstructive chronic bronchitis, with acute bronchitis Bronchiectasis with acute exacerbation Bronchiectasis with acute exacerbation Chronic airway obstruction, not elsewhere classified Chronic obstructive pulmonary disease, unspecified Other chronic obstructive pulmonary disease Simple chronic bronchitis Mixed simple and mucopurulent chronic bronchitis Mucopurulent chronic bronchitis Mucopurulent chronic bronchitis Obstructive chronic bronchitis Other chronic obstructive pulmonary disease Obstructive chronic bronchitis, without exacerbation Other chronic bronchitis Unspecified chronic bronchitis Unspecified chronic bronchitis Emphysematous bleb Emphysema, unspecified Other emphysema Bronchiectasis Bronchiectasis
NOTE: * includes all sub-codes
Research Findings
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In
Lix et al. (2021),
they investigated the frequencies of hospitalization for gastrointestinal complications (i.e., intestinal perforations) and non-gastrointestinal complications (cardiac, cerebrovascular, infection, pulmonary) within 30 days after a GIE procedure. They examined complications for both cases and non-cases, and conducted separate analysis for upper GIE procedures, all lower GIE procedures, and for colonoscopies only.
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Table 5.3: Hospitalizations for Complications Within 30 Days of a Gastrointestinal Endoscopy (GIE) Procedure, 1985/86 to September 30, 2016;
- several figures that estimate the difference between GIE procedure cases and non-cases in the odds of having a non-gastrointestinal complication, and the results of analysis for factors (i.e., age, sex, Charlson Comorbidity Index score) associated with hospitalization for complications amongst GIE procedure cases.
For more information on the findings from this research, see the section titled: Gastrointestinal Perforations and Non-Gastrointestinal Complications in the on-line report, including:
Related concepts
Related terms
References
- Lix LM, Singh H, Derksen S, Sirski M, McCulloch S. Gastrointestinal Endoscopy (GIE) Utilization in Manitoba. Winnipeg, MB: Manitoba Centre for Health Policy, 2021. [Report] [Additional Materials] (View)
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