Adverse Events Associated with Routine Colonoscopy in Patients with End-Stage Renal Disease

Background and Aim Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patie...

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Bibliographic Details
Published in:Digestive diseases and sciences 2022-07, Vol.67 (7), p.3158-3165
Main Authors: Goong, Hyeon Jeong, Ko, Bong Min, Lee, Moon Sung
Format: Article
Language:English
Subjects:
Biochemistry
Care and treatment
Chronic kidney failure
Colonoscopy
Comparative analysis
Gastroenterology
Hemodialysis
Hepatology
Kidney diseases
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Oncology
Original Article
Peritoneal dialysis
Transplant Surgery
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Summary:Background and Aim Although colonoscopy has been widely performed in patients with end-stage renal disease (ESRD), studies on the safety of routine colonoscopy, including bowel preparation and sedation, in these patients are limited. This study aimed to investigate the safety of colonoscopy in patients with ESRD who underwent peritoneal dialysis (PD) or hemodialysis (HD). Methods We retrospectively reviewed 538 patients with ESRD who underwent colonoscopy between 2010 and 2020. We compared the incidence of adverse events (AEs) between the ESRD group and a propensity score-matched control group of healthy adults. Cardiovascular/pulmonary and procedure-related AEs were analyzed. We also compared the rates of AEs between patients who underwent PD or HD. Results The overall rate of AEs was 5.7% in patients with ESRD, which was significantly higher than that in healthy adults (0.6%, P  
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-021-07137-5