Max Rady College of Medicine

Concept: Complications from a Gastrointestinal Endoscopy (GIE) Procedure

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Concept Description

Last Updated: 2022-08-15

Introduction

    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

    The data source used to identify complications from a GIE Procedure is the Hospital Abstracts data.

Complications from a GIE Procedure

    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

    ICD-9-CM Code
    Description
    ICD-10-CA Code
    Description
    569.83
    Perforation of intestine
    K63.1
    Non-traumatic perforation of intestine
    998.2
    Accidental puncture and laceration during a procedure, not elsewhere classified
    T81.2
    Accidental puncture and laceration during a procedure, not elsewhere classified
    E870.8
    Accidental cut or hemorrhage during medical care - other specified
    Y60.8
    Accidental cut - Other specified medical care
    E870.9
    Accidental cut or hemorrhage during medical care - unspecified
    Y60.9
    Accidental cut - Unspecified medical care
    E870.4
    Accidental cut or hemorrhage during endoscopic examination
    Y60.4
    Accidental cut - Endoscopic examination

2. Cardiac Complications

    ICD-9-CM Code
    Description
    ICD-10-CA Code
    Description
    394.*
    Diseases of the mitral valve
    I05
    Rheumatic mitral valve diseases
    395.*
    Diseases of the aortic valve
    I06
    Rheumatic aortic valve diseases
    396.*
    Diseases of the mitral and aortic valves
    I08.0
    Rheumatic disorders of both mitral and aortic valves
    397.*
    Diseases of other endocardial structures
    I07
    Rheumatic tricuspid valve diseases
    I08
    Multiple valve diseases
    I36
    Nonrheumatic tricuspid valve disorders
    I37
    Pulmonary valve disorders
    I38
    Endocarditis, valve unspecified
    I39.*
    Endocarditis and heart valve disorders in diseases classified elsewhere
    398.91
    Rheumatic heart failure (congestive)
    I09.9
    Rheumatic heart disease, unspecified
    402.01
    Hypertensive HD malignant with congestive heart failure
    I10.1
    Malignant hypertension
    402.11
    Hypertensive HD benign with congestive heart failure
    I10.0
    Benign hypertension
    402.91
    Hypertensive HD unspecified with congestive heart failure
    I11
    Hypertensive heart disease
    404.03
    Hypertensive heart and renal disease, malignant, CKD stage V or end stage
    I13
    Hypertensive heart and renal disease
    404.11
    Hypertensive heart and renal disease, benign, CKD stages I through IV
    404.13
    Hypertensive heart and renal disease, benign, CKD stage V or end stage
    404.91
    Hypertensive heart and renal disease, unspecified, CKD stages I through IV
    404.93
    Hypertensive heart and renal disease, unspecified, CKD stage V or end stage
    410
    Acute myocardial infarction
    I21.*
    Acute myocardial infarction
    411
    Other acute and subacute forms of IHD
    I25.1
    Atherosclerotic heart disease
    412
    Old myocardial infarction
    I25.2
    Old myocardial infarction
    413
    Angina Pectoris
    I20.*
    Angina Pectoris
    414
    Other forms of chronic IHD
    415
    Acute Pulmonary heart disease
    I26.0
    Pulmonary embolism with mention of acute cor pulmonale
    424.*
    Other diseases of the endocardium
    426.*
    Atrioventricular block, complete
    I44
    Atrioventricular and left bundle-branch block
    426.1
    Atrioventricular block, other and unspecified
    I34
    Nonrheumatic mitral valve disorders
    426.4
    Right bundle-branch block
    I35
    Nonrheumatic aortic valve disorders
    427.*
    Cardiac dysrhythmias
    427.3
    Atrial fibrillation and flutter
    I48.*
    Atrial fibrillation and flutter
    427.5
    Cardiac arrest
    I46.*
    Cardiac arrest
    427.9
    Cardiac dysrhythmia, unspecified
    428
    Heart failure
    I50.*
    Heart failure
    428.0
    Congestive heart failure, unspecified
    428.1
    Left heart failure
    428.2
    Systolic heart failure
    428.3
    Diastolic heart failure
    428.4
    Combined systolic and diastolic heart failure
    428.9
    Heart Failure, unspecified
    429.2
    Cardiovascular disease unspecified
    785
    Tachycardia unspecified
    R00.0
    Tachycardia unspecified
    I47.*
    Paroxysmal tachycardia
    785.1
    Palpitations
    R00.2
    Palpitations
    I49.*
    Other cardiac arrhythmias
    996.71
    Other complications due to heart valve prosthesis
    T82.8
    Other specified complications of cardiac and vascular prosthetic devices, implants and grafts
    996.74
    Other complications due to other vascular device
    T82.9
    Unspecified complication of cardiac and vascular prosthetic device, implant and grafts
    T82.*
    Complications of cardiac and vascular prosthetic devices, implants and grafts
    997.1
    Cardiac complications during/resulting from a procedure
    I97.8
    Cardiac complications (Post procedural disorders of circulatory system, not elsewhere classified)
    I97.9
    Postprocedural disorder of circulatory system, unspecified
    V12.53
    Personal history of diseases of the circulatory system
    Z86.7
    Personal history of diseases of the circulatory system
    V45.81
    Aortocoronary bypass status
    Z95.1
    Presence of aortocoronary bypass graft
    V45.82
    Percutaneous transluminal coronary angioplasty status
    Z95.5
    Presence of coronary angioplasty implant and graft
    I45.*
    Other conduction disorders
    1.IJ.50
    Dilation, coronary arteries (CCI procedure)

    NOTE: * includes all sub-codes

3. Cerebrovascular Complications

    ICD-9-CM Code
    Description
    ICD-10-CA Code
    Description
    346.0*
    Classical migraine
    G43
    Migraine
    346.6*
    Common migraine
    I65
    Occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction
    433.*
    Occlusion and stenosis of precerebral arteries
    I63
    Cerebral infarction
    434
    Occlusion of cerebral arteries
    I66
    Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
    436
    Acute but ill-defined cerebrovascular disease
    I67
    Other cerebrovascular diseases
    437.*
    Other and ill-defined cerebrovascular disease
    I68
    Cerebrovascular disorders in diseases classified elsewhere
    438.*
    Late effects of cerebrovascular disease
    I69
    Sequelae of cerebrovascular disease
    430
    Subarachnoid hemorrhage
    I60
    Subarachnoid hemorrhage
    431
    Intracerebral hemorrhage
    I61
    Intracerebral hemorrhage
    432
    Other and unspecified intracranial hemorrhage - nontraumatic extradural
    I62.1
    Nontraumatic extradural hemorrhage
    432.1
    Other and unspecified intracranial hemorrhage - subdural
    I62.0
    Subdural hemorrhage (acute) (nontraumatic)
    432.9
    Other and unspecified intracranial hemorrhage - unspecified
    I62.9
    Intracranial hemorrhage (nontraumatic), unspecified
    I64
    Stroke, not specified as hemorrhage or infarction
    435.*
    Transient cerebral ischemia
    G45
    Transient cerebral ischemic attacks and related syndromes
    V12.53
    Personal history of diseases of the circulatory system
    Z86.7
    Personal history of diseases of the circulatory system
    780.6
    Pyrexia of unknown origin
    R50.9
    Fever, unspecified
    780.62
    Fever and other physiologic disturbances of temperature regulation
    R50.8
    Other specified fever
    389
    Unspecified septicemia
    A41.9
    Septicemia, unspecified

    NOTE: * includes all sub-codes

4. Pulmonary Complications

    ICD-9-CM Code
    Description
    ICD-10-CA Code
    Description
    507
    Pneumonitis due to solids and liquids
    J69
    Pneumonitis due to solids and liquids
    507.0
    Pneumonitis due to inhalation of food or vomitus
    J69.0
    Pneumonitis due to inhalation of food or vomitus
    997.32
    Respiratory complications, postprocedural aspiration pneumonia
    J95.88
    Other postprocedural respiratory disorders
    997.39
    Respiratory complications, other
    J95.9
    Postprocedural respiratory disorder, unspecified
    486
    Pneumonia, organism unspecified
    J18
    Pneumonia, organism unspecified
    485
    Bronchopneumonia, organism unspecified
    466
    Acute bronchitis and bronchiolitis
    490
    Bronchitis, not specified as acute or chronic
    J41.0
    Simple chronic bronchitis
    491.21
    Obstructive chronic bronchitis, with acute exacerbation

    491.22
    Obstructive chronic bronchitis, with acute bronchitis
    494.1
    Bronchiectasis with acute exacerbation
    J47.1
    Bronchiectasis with acute exacerbation
    496
    Chronic airway obstruction, not elsewhere classified
    J44.9
    Chronic obstructive pulmonary disease, unspecified
    J44
    Other chronic obstructive pulmonary disease
    491
    Simple chronic bronchitis
    J41.8
    Mixed simple and mucopurulent chronic bronchitis
    491.1
    Mucopurulent chronic bronchitis
    J41.1
    Mucopurulent chronic bronchitis
    491.2
    Obstructive chronic bronchitis
    J44
    Other chronic obstructive pulmonary disease
    491.20
    Obstructive chronic bronchitis, without exacerbation
    491.8
    Other chronic bronchitis
    491.9
    Unspecified chronic bronchitis
    J42
    Unspecified chronic bronchitis
    492.0
    Emphysematous bleb
    J43.9
    Emphysema, unspecified
    492.8
    Other emphysema
    494
    Bronchiectasis
    J47
    Bronchiectasis

    NOTE: * includes all sub-codes

Research Findings

    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.

    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:

    • 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.

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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