TABLE 3.
Colonoscopy-related bleeding rates
Study | Study design | Clinician specialty* | Patients/procedures, n | Bleeding rate n (%); Incidence rate/1000 | Bleeding requiring laparotomy (%) |
---|---|---|---|---|---|
Gibbs et al (22) | Retrospective | Colorectal surgeons, gastroenterologists | 6365 polypectomies† | 13 (0.20); 2/1000 | Not reported |
Wexner et al (12) | Retrospective | Surgeons (n=4) | 2069 patients | 2 (0.10); 1/1000 | Not reported |
Zubarik et al (23) | Telephone survey | Colorectal surgeons, gastroenterologists | 1196 patients | 22 (1.8); 18/1000 | Not reported |
Dafnis et al (24) | Retrospective | Surgeons, gastroenterologists, radiologists | 6066 colonoscopies, 4304 patients | 12 (0.20); 2/1000 | n=2 (<0.03%) 0.3/1000 |
Wexner et al (13) | Prospective | Surgeons | 13,580 colonoscopies | 10 (0.074); 0.7/1000 | Not reported |
Ker et al (25) | Retrospective | Single surgeon | 5120 patients | 6 (0.11); 1/1000 | Not reported |
Nelson et al (18) | Prospective | Gastroenterologists | 3196 screening colonoscopies | Major bleed‡: 7 (0.22); 2.2/1000 Minor bleed§: 6 (0.18); 1.8/1000 Overall: 13 (0.41); 4/1000 |
Not reported |
Regula et al (60) | Prospective | Not specified | 50,148 participants | 13 (0.025); 0.25/1000 | Not reported |
Levin et al (61) | Retrospective | Endoscopists | 16,318 patients | 53 (0.32); 3/1000 | Not reported |
Unless shown, the number of persons performing the procedure was not reported in the paper;
Bleeding rate for colonoscopy not reported;
Gastrointestinal bleeding with hospitalization;
Gastrointestinal bleeding without hospitalization