Safety of Digestive Endoscopy following Acute Coronary Syndrome: A Systematic Review
المؤلفون المشاركون
Dorreen, Alastair
Moosavi, Sarvenaz
Barkun, Alan N.
Martel, Myriam
المصدر
Canadian Journal of Gastroenterology and Hepatology
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-03-10
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Background.
The safety of endoscopy after an acute coronary syndrome (ACS) is poorly characterized.
We thus performed a systematic review assessing the safety of endoscopy following ACS.
Methods.
Searches in EMBASE, Medline, and Web of Science identified articles for inclusion.
Data abstraction was completed by two independent reviewers.
Results.
Fourteen retrospective studies yielded 1178 patients (mean 71.3 years, 59.0% male) having suffered an ACS before endoscopy.
Patients underwent 1188 endoscopies primarily to investigate suspected gastrointestinal bleeding (81.2%).
Overall, 810 EGDs (68.2%), 191 colonoscopies (16.1%), 100 sigmoidoscopies (8.4%), 64 PEGs (5.4%), and 22 ERCPs (1.9%) were performed 9.0±5.2 days after ACS, showing principally ulcer disease (25.1%; 95% CI 22.2–28.3%) and normal findings (22.9%; 95% CI 20.1–26.0%).
Overall, 108 peri- and postprocedural complications occurred (9.1%; 95% CI 7.6–10.9%), with hypotension (24.1%; 95% CI 17.0–32.9%), arrhythmias (8.1%; 95% CI 4.5–18.1%), and repeat ACS (6.5%; 95% CI 3.1–12.8%) as the most frequent.
All-cause mortality was 8.1% (95% CI 6.3–10.4%), with 4 deaths attributed to endoscopy (<24 hours after ACS, 3.7% of all complications; 95% CI 1.5–9.1%).
Conclusion.
A significant proportion of possibly endoscopy-related negative outcomes occur following ACS.
Further studies are required to better characterize indications, patient selection, and appropriate timing of endoscopy in this cohort.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dorreen, Alastair& Moosavi, Sarvenaz& Martel, Myriam& Barkun, Alan N.. 2016. Safety of Digestive Endoscopy following Acute Coronary Syndrome: A Systematic Review. Canadian Journal of Gastroenterology and Hepatology،Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1099961
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dorreen, Alastair…[et al.]. Safety of Digestive Endoscopy following Acute Coronary Syndrome: A Systematic Review. Canadian Journal of Gastroenterology and Hepatology No. 2016 (2016), pp.1-11.
https://search.emarefa.net/detail/BIM-1099961
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dorreen, Alastair& Moosavi, Sarvenaz& Martel, Myriam& Barkun, Alan N.. Safety of Digestive Endoscopy following Acute Coronary Syndrome: A Systematic Review. Canadian Journal of Gastroenterology and Hepatology. 2016. Vol. 2016, no. 2016, pp.1-11.
https://search.emarefa.net/detail/BIM-1099961
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1099961
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر