Sadalla S, Lisotti A, Fuccio L, Fusaroli P. Colonoscopy-related colonic ischemia. World J Gastroenterol 2021; 27(42): 7299-7310 [PMID: 34876790 DOI: 10.3748/wjg.v27.i42.7299]
Corresponding Author of This Article
Pietro Fusaroli, MD, Associate Professor, Unità Operativa Complessa di Gastroenterologia e Endoscopia Digestiva, Università di Bologna/ Ospedale di Imola, Via Montericco 4, Imola (BO) 40026, Italy. pietro.fusaroli@unibo.it
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 14, 2021; 27(42): 7299-7310 Published online Nov 14, 2021. doi: 10.3748/wjg.v27.i42.7299
Colonoscopy-related colonic ischemia
Sinan Sadalla, Andrea Lisotti, Lorenzo Fuccio, Pietro Fusaroli
Sinan Sadalla, Unità Operativa Complessa di Gastroenterologia e Endoscopia Digestiva, Università di Bologna/ Ospedale di Imola, Imola (BO) 40024, Italy
Andrea Lisotti, Pietro Fusaroli, Unità Operativa Complessa di Gastroenterologia e Endoscopia Digestiva, Università di Bologna/ Ospedale di Imola, Imola (BO) 40026, Italy
Lorenzo Fuccio, Divisione di Gastroenterologia, Dipartimento di Scienze Medico-Chirurgiche (DIMEC), IRCSS- Azienda Ospedaliero-Universitaria di Bologna, Bologna 40138, Italy
Author contributions: Fusaroli P designed the research study; Sadalla L and Lisotti A performed the research and wrote the article; Fuccio L analyzed the data for relevant intellectual content; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All authors declare that there are no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Pietro Fusaroli, MD, Associate Professor, Unità Operativa Complessa di Gastroenterologia e Endoscopia Digestiva, Università di Bologna/ Ospedale di Imola, Via Montericco 4, Imola (BO) 40026, Italy. pietro.fusaroli@unibo.it
Received: March 30, 2021 Peer-review started: March 30, 2021 First decision: June 23, 2021 Revised: July 6, 2021 Accepted: October 20, 2021 Article in press: October 20, 2021 Published online: November 14, 2021
Abstract
Colonoscopy is a risk factor for colon ischemia. The colon is susceptible to ischemia due to its minor blood flow compared to other abdominal organs; the etiology of colon ischemia after colonoscopy is multifactorial. The causative mechanisms include splanchnic circulation impairment, bowel preparation, drugs used for sedation, bowel wall ischemia due to insufflation/barotrauma, and introduction of the endoscope. Gastroenterologists must be aware of this condition and its risk factors for risk minimization, early diagnosis, and proper treatment.
Core Tip: Colonic ischemia is the main form of vascular injury to the gastrointestinal tract and is characterized by sudden onset of nausea and abdominal pain, followed by bloody diarrhea. Among the different etiologies, colonoscopy has been proposed as a risk factor for colon ischemia.
