Inflammatory Bowel Disease Is not Linked to a Higher Rate of Adverse Events in Colonoscopy—a Nationwide Population-based Study in Sweden

Abstract Background and Aims Inflammatory bowel disease may cause long-standing inflammation and fibrosis and may increase the risk of adverse events in colonoscopy. We evaluated whether inflammatory bowel disease and other potential risk factors are associated with bleeding or perforation in a nati...

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Veröffentlicht in:Journal of Crohn's and colitis 2023, Vol.17 (12), p.1962-1967
Hauptverfasser: Alexandersson, Bjarki T, Andreasson, Anna, Hedin, Charlotte, Broms, Gabriella, Schmidt, Peter T, Forsberg, Anna
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Sprache:eng
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Zusammenfassung:Abstract Background and Aims Inflammatory bowel disease may cause long-standing inflammation and fibrosis and may increase the risk of adverse events in colonoscopy. We evaluated whether inflammatory bowel disease and other potential risk factors are associated with bleeding or perforation in a nationwide, population-based, Swedish study. Methods Data from 969 532 colonoscopies, including 164 012 [17%] on inflammatory bowel disease patients, between 2003 and 2019, were retrieved from the National Patient Registers. ICD-10 codes for bleeding [T810] and perforation [T812] within 30 days of the colonoscopy were recorded. Multivariable logistic regression was used to test if inflammatory bowel disease status, inpatient setting, time period, general anaesthesia, age, sex, endoscopic procedures, and antithrombotic treatment were associated with higher odds for bleeding and perforation. Results Bleeding and perforation were reported in 0.19% and 0.11% of all colonoscopies, respectively. Bleeding [odds ratio 0.66, p 
ISSN:1873-9946
1876-4479
1876-4479
DOI:10.1093/ecco-jcc/jjad114