PMID- 24160934 OWN - NLM STAT- MEDLINE DCOM- 20140205 LR - 20181202 IS - 1532-1916 (Electronic) IS - 1521-6918 (Linking) VI - 27 IP - 5 DP - 2013 Oct TI - Emergencies after endoscopic procedures. PG - 783-98 LID - S1521-6918(13)00160-1 [pii] LID - 10.1016/j.bpg.2013.08.012 [doi] AB - Endoscopy adverse events (AEs), or complications, are a rising concern on the quality of endoscopic care, given the technical advances and the crescent complexity of therapeutic procedures, over the entire gastrointestinal and bilio-pancreatic tract. In a small percentage, not established, there can be real emergency conditions, as perforation, severe bleeding, embolization or infection. Distinct variables interfere in its occurrence, although, the awareness of the operator for their potential, early recognition, and local organized facilities for immediate handling, makes all the difference in the subsequent outcome. This review outlines general AEs' frequencies, important predisposing factors and putative prophylactic measures for specific procedures (from conventional endoscopy to endoscopic cholangio-pancreatography and ultrasonography), with comprehensive approaches to the management of emergent bleeding and perforation. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Rolanda, Carla AU - Rolanda C AD - Department of Gastroenterology, Hospital Braga, Braga, Portugal; Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; ICVS/3B's - PT Government Associate Laboratory, Braga/Guimaraes, Portugal. Electronic address: crolanda@ecsaude.uminho.pt. FAU - Caetano, Ana C AU - Caetano AC FAU - Dinis-Ribeiro, Mario AU - Dinis-Ribeiro M LA - eng PT - Journal Article PT - Review DEP - 20130907 PL - Netherlands TA - Best Pract Res Clin Gastroenterol JT - Best practice & research. Clinical gastroenterology JID - 101120605 SB - IM MH - Emergencies MH - Endoscopy, Gastrointestinal/*adverse effects MH - Gastrointestinal Hemorrhage/diagnosis/*etiology/surgery MH - Gastrointestinal Tract/*injuries MH - Humans MH - Wounds and Injuries/diagnosis/*etiology/surgery OTO - NOTNLM OT - Bleeding OT - Diagnosis and management of severe complications OT - Embolization OT - GI emergencies OT - GI endoscopy adverse events OT - Haemorrhage OT - Infection OT - Perforation EDAT- 2013/10/29 06:00 MHDA- 2014/02/06 06:00 CRDT- 2013/10/29 06:00 PHST- 2013/07/14 00:00 [received] PHST- 2013/07/25 00:00 [revised] PHST- 2013/08/11 00:00 [accepted] PHST- 2013/10/29 06:00 [entrez] PHST- 2013/10/29 06:00 [pubmed] PHST- 2014/02/06 06:00 [medline] AID - S1521-6918(13)00160-1 [pii] AID - 10.1016/j.bpg.2013.08.012 [doi] PST - ppublish SO - Best Pract Res Clin Gastroenterol. 2013 Oct;27(5):783-98. doi: 10.1016/j.bpg.2013.08.012. Epub 2013 Sep 7.