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Rare complication of colonoscopy – complicated cholelithiasis


Authors: L. Vondrová 1;  E. Hovorková 2;  J. Cyrany 1;  M. Kopáčová 1
Authors place of work: II. interní gastroenterologická klinika LF UK a FN Hradec Králové 1;  Fingerlandův ústav patologie, LF UK a FN Hradec Králové 2
Published in the journal: Gastroent Hepatol 2016; 70(5): 426-431
Category: Digestive Endoscopy: Case Report
doi: https://doi.org/10.14735/amgh2016csgh.info13

Summary

Colonoscopy is a commonly used endoscopic technique and the number of patients being examined by this method is continually growing. Although relatively safe, it has a number of complications associated with sedation, preparation for examination, and the procedure itself, especially when it is performed for therapeutic interventions. The most common complications are pain during and after the procedure and bleeding. We present a report of four patients from our department who developed cholelithiasis complications during preparation for colonoscopy and during colonoscopy itself. Two cases were acute cholecystitis, one case was acute biliary pancreatitis, and one case was cholecystitis with pericholecystitis. According to information available in the literature, the de novo formation of stones in the gallbladder during colonoscopy preparation is probably a complication of previous asymptomatic cholelithiasis. Stone formation is accentuated by bowel preparation before colonoscopy, which causes hypohydration and creates a lithogenic environment in the gallbladder. Clinical signs usually occurred within 72 hours after endoscopy in our patients. According to the literature, cholecystectomy is the best therapy, and no patients has ever died as a result of cholelithiasis complications during colonoscopy.

Key words:
coloscopy – cholelithiasis – cholecystitis – pancreatitis

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
22. 1. 2016

Accepted:
6. 4. 2016


Zdroje

1. Falt P, Urban O. Komplikace koloskopie. In: Falt P, Urban O, Vítek P. Koloskopie. 1. vyd. Praha: Grada Publishing 2015: 119–125.

2. Warren JL, Klabunde CN, Mariotto AB et al. Adverse events after outpatient colonoscopy in the Medicare population. Ann Intern Med 2009; 150 (12): 849–857.

3. Ko CW, Dominitz JA. Complications of colonoscopy: magnitude and management. Gastrointest Endosc Clin N Am 2010; 20 (4): 659–671. doi: 10.1016/j.giec.2010.07.005.

4. Fisher DA, Maple JT, Ben-Manachem T et al. Complications of colonoscopy. Gastrointest Endosc 2011; 74 (4): 745–752. doi: 10.1016/j.gie.2011.07.025.

5. Whitlock EP, Lin JS, Liles E et al. Screening for colorectal cancer: a target, updated systemic review for US preventive services task force. Ann Int Med 2008; 149 (9): 638–658.

6. Sharma VK, Nguyen CC, Crowell MD et al. A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc 2007; 66 (1): 27–34.

7. Repici A, Pellicano R, Strangio G et al. Endoscopic mucosal resection for early colorectal neoplasia: a pathologic basis, procedures and outcomes. Dis Colon Rectum 2009; 52 (8): 1502–1515. doi: 10.1007/DCR.0b013e3181a74d9b.

8. Saito Y, Uraoka T, Yamaguchi Y et al. A pros- pective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc 2010; 72 (6): 1217–1225. doi: 10.1016/ j.gie. 2010.08.004.

9. Zádorová Z. Kolonoskopie. Doporučený postup endoskopického vyšetření tlustého střeva. Ces Slov Gastroent Hepatol 2005; 59 (1): 26–30.

10. Brooks DC. Postpolypectomy electrocoagulation syndrome. [online]. Available from: www.uptodate.com/contents/postpolypectomy-electrocoagulation-syndrome?source=search_result&search=Postpolypectomy+electrocoagulation+syndrome&selectedTitle=1~15.

11. Saad A, Rex DK. Colonoscopy-induced splenic injury: report of 3 cases and literature review. Dig Dis Sci 2008; 53 (4): 892–897.

12. Hofstad B. Explosion in rectum. Tidsskr Nor Laegeforen 2007; 127 (13): 1789–1790.

13. Cyrany J, Kopáčová M, Kočí J et al. Tříselná kýla a komplikace koloskopie. Folia Gastroenterol Hepatol 2008; 6 (4): 2–4.

14. Caprilli R, Viscido A, Frieri G et al. Acute colitis folowing colonoscopy. Endoscopy 1998; 30 (4): 428–431.

15. Bonenfant F, Rousseau E, Farand P. Streptococcus anginosus pyogenic liver abscess following a screening colonoscopy. Can J Infect Dis Med Microbiol 2013; 24 (2): 45–46.

16. Gachoka D. Polyethylene Glycol (PEG) -induced anaphylactic reaction during bowel preparation. ACG Case Rep J 2015; 2 (4): 216–217. doi: 10.14309/crj.2015.63.

17. Belsey J, Epstein O, Heresbach D. Systematic review: averse event reports for oral sodium phosphate and polyenthylene glycol. Aliment Pharmacol Ther 2008; 29 (1): 15–28. doi: 10.1111/j.1365-2036.2008.03837.x.

18. Hassan C, Bretthauer M, Kaminski MF et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal En- doscopy (ESGE) Guideline. Endoscopy 2013; 45 (2): 142–150. doi: 10.1055/ s-0032-1326186.

19. Florentin M, Liamis G, Elisaf MS. Colonoscopy preparation-induced disorders in renal function and electrolytes. World J Gastrointest PharmacolTher 2014; 5 (2): 50–54. doi: 10.4292/wjgpt.v5.i2.50.

20. Bini EJ, Unger JS, Rieber JM. Bowel preparation for colonoscopy and flexible sigmoidoscopy in adults. Gastrointest Endosc 2000; 52 (2): 218–222.

21. Milman PJ, Goldenberg SP. Colonoscopy cholecystitis. Am J Gastroenterol 2001; 96 (5): 1666.

22. Fernández-Martínez C, Plá-Martí V, Flors-Alandí C et al. Gangrenous cholecystitis after colonoscopy. Am J Gastroenterol 2002; 97 (6): 1572.

23. Azzis F, Milman P, McNelis J. Abdominal pain after colonoscopy: can it be acute cholecystitis? Dig Dis Sci 2007; 52 (10): 2660–2661.

24. Maddur H, Agrawal S, Fayad N et al. Acute cholecystitis after colonoscopy: a case series. Gastrointest Endosc 2011; 74 (1): 211–213. doi: 10.1016/j.gie.2011.03. 1126.

25. Yun Jung JH, Jeong WJ, Chang WS et al. A case of acute cholecystitis after colonoscopy. Korean J Gastroenterol 2013; 61 (1): 42–45.

26. Park TI, Lee SY, Lee JH et al. Acute cholecystitis after a colonoscopy. Ann Coloproctol 2013; 29 (5): 213–215. doi: 10.3393/ac.2013.29.5.213.

27. Thomas AW, Mitre RJ. Acute pancreatitis as a complication of colonoscopy. J Clin Gastroenterol 1994; 19 (2): 177–178.

28. Ko HH, Jamieson T, Bressler B. Acute pancreatitis and ileus postcolonoscopy. Can J Gastroenterol 2009; 23 (8): 551–553.

29. Fortea JL, Marín Jimenez I, Nogales Rincon O et al. Postcolonic polypectomy pancreatitis. Endoscopy 2010; 42 (Suppl 2): E221–E222. doi: 10.1055/s-0029-1214 967.

30. Khashram M, Frizelle FA. Colonoscopy – a rare cause of pancreatitis. N Z Med J 2011; 124 (1345): 74–76.

31. Shekhar S, Singh S, Gupta S. Postcolonoscopy pancreatitis. Endoscopy 2014; 46 (Suppl 1): E515–E516. doi: 10.1055/s-0034-1377379.

32. Bang CS, Yoon JH, Kim YJ et al. Clinical impact of body mass index on bactibilia and bacteremia. BMC Gastroenterol 2014; 14: 104. doi: 10.1186/1471-230X-14- 104.

Štítky
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Článok vyšiel v časopise

Gastroenterology and Hepatology

Číslo 5

2016 Číslo 5
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