Year 2021 / Volume 113 / Number 3
Review
Cardiorespiratory complications of digestive endoscopy not related to sedation

202-206

DOI: 10.17235/reed.2020.6917/2020

Juan Antonio Vázquez Rodríguez, Carmen Molina Villalba, Eva Martínez Amate,

Abstract
Although digestive endoscopy is considered to be a safe procedure, both the growing complexity of the techniques and the underlying diseases of patients increase the risk of adverse events during the procedure. Cardiorespiratory events are the most frequent complications, and can occur in patients with or without sedation, although they appear more often when the patient is sedated. The body’s physiological response to stress is what causes these adverse events, which are generally mild and transient, although they can be serious. They are more frequent in patients with cardiopulmonary diseases, which logically increase risk. The autonomic nervous system, through its sympathetic and parasympathetic branches, is primarily responsible for these alterations. Patients with asthma or chronic obstructive pulmonary disease have a higher risk of hypoxemia, bronchospasm, and arrhythmia during the endoscopic procedure. Patients with arrhythmia and ischemic heart disease have a higher risk of myocardial ischemia and heart rhythm disturbances. The risk of adverse events during the procedure can be reduced by reviewing the patient’s medical history along with a basic clinical examination before endoscopy. A brief interrogation about symptom control can also help the safety of endoscopy.
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References
1. Silvis SE, Nebel O, Rogers G, et al. Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA. 1976 Mar 1;235(9):928–30.
2. Sieg A, Hachmoeller-Eisenbach U, Eisenbach T. Prospective evaluation of complications in outpatient GI endoscopy: a survey among German gastroenterologists. Gastrointest Endosc. 2001 May;53(6):620–7.
3. Arrowsmith JB, Gerstman BB, Fleischer DE, et al. Results from the American Society for Gastrointestinal Endoscopy/U.S. Food and Drug Administration collaborative study on complication rates and drug use during gastrointestinal endoscopy. Gastrointest Endosc. 1991 Aug;37(4):421–7.
4. Gangi S, Saidi F, Patel K, et al. Cardiovascular complications after GI endoscopy: occurrence and risks in a large hospital system. Gastrointest Endosc. 2004 Nov;60(5):679–85.
5. Cohen LB, Holub J, Lieberman DA, et al. Does routine use of supplemental oxygen during endoscopy really reduce the risk of cardiopulmonary complications? Gastrointest Endosc 2007;65:AB102 [abstract].
6. Sharma VK, Nguyen CC, Crowell MD, et al. A national study of cardiopulmonary unplanned events after GI endoscopy. Gastrointest Endosc. 2007 Jul;66(1):27–34.
7. Cohen LB. Patient monitoring during gastrointestinal endoscopy: why, when, and how? Gastrointest Endosc Clin N Am. 2008 Oct;18(4):651–63, vii.
8. Bough EW, Meyers S. Cardiovascular responses to upper gastrointestinal endoscopy. Am J Gastroenterol. 1978 Jun;69(6):655–61.
9. Lieberman DA, Wuerker CK, Katon RM. Cardiopulmonary risk of esophagogastroduodenoscopy. Role of endoscope diameter and systemic sedation. Gastroenterology. 1985 Feb;88(2):468–72.
10. Levy I, Gralnek IM. Complications of diagnostic colonoscopy, upper endoscopy, and enteroscopy. Best Pract Res Clin Gastroenterol. 2016 Oct;30(5):705–18.
11. Yazawa K, Adachi W, Koide N, et al. Changes in cardiopulmonary parameters during upper gastrointestinal endoscopy in patients with heart disease: towards safer endoscopy. Endoscopy. 2000 Apr;32(4):287–93.
12. Fujimura M, Ishiura Y, Myou S, et al. Cardiopulmonary complications during gastroscopy in patients with chronic respiratory failure undergoing long-term home oxygen therapy. Endoscopy. 2000 Jan;32(1):33–6.
13. Rostykus PS, McDonald GB, Albert RK. Upper intestinal endoscopy induces hypoxemia in patients with obstructive pulmonary disease. Gastroenterology. 1980 Mar;78(3):488–91.
14. Park HM, Kim ES, Lee SM, et al. Clinical Characteristics and Mortality of Life-Threatening Events Requiring Cardiopulmonary Resuscitation in Gastrointestinal Endoscopy Units. Medicine (Baltimore). 2015 Oct;94(43):e1934.
15. Wang CY, Ling LC, Cardosa MS, et al. Hypoxia during upper gastrointestinal endoscopy with and without sedation and the effect of pre-oxygenation on oxygen saturation. Anaesthesia. 2000 Jul;55(7):654–8.
16. Reed MW, O’Leary DP, Duncan JL, et al. Effects of sedation and supplemental oxygen during upper alimentary tract endoscopy. Scand J Gastroenterol. 1993 Apr;28(4):319–22.
17. Alcaín G, Guillén P, Escolar A, et al. Predictive factors of oxygen desaturation during upper gastrointestinal endoscopy in nonsedated patients. Gastrointest Endosc. 1998 Aug;48(2):143–7.
18. Levy MN. Neural control of cardiac function. Baillieres Clin Neurol. 1997 Jul;6(2):227–44.
19. Paton JFR, Boscan P, Pickering AE, et al. The yin and yang of cardiac autonomic control: vago-sympathetic interactions revisited. Brain Res Brain Res Rev. 2005 Nov;49(3):555–65.
20. Holm C, Christensen M, Rasmussen V, et al. Hypoxaemia and myocardial ischaemia during colonoscopy. Scand J Gastroenterol. 1998 Jul;33(7):769–72.
21. Rosenberg J, Stausholm K, Andersen IB, et al. No effect of oxygen therapy on myocardial ischaemia during gastroscopy. Scand J Gastroenterol. 1996 Feb;31(2):200–5.
22. Murray AW, Morran CG, Kenny GN, et al. Examination of cardiorespiratory changes during upper gastrointestinal endoscopy. Comparison of monitoring of arterial oxygen saturation, arterial pressure and the electrocardiogram. Anaesthesia. 1991 Mar;46(3):181–4.
23. Doyle DJ, Garmon EH. American Society of Anesthesiologists Classification (ASA Class). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 [cited 2019 Dec 30]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK441940/
24. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008 May;108(5):812–21.
25. Cappell MS. Gastrointestinal endoscopy in high-risk patients. Dig Dis. 1996 Aug;14(4):228–44.
26. Dorreen A, Moosavi S, Martel M, et al. Safety of Digestive Endoscopy following Acute Coronary Syndrome: A Systematic Review. Can J Gastroenterol Hepatol. 2016;2016:9564529.
27. Vignola AM, Mirabella F, Costanzo G, et al. Airway remodeling in asthma. Chest. 2003 Mar;123(3 Suppl):417S-22S.
28. van der Velden VH, Hulsmann AR. Autonomic innervation of human airways: structure, function, and pathophysiology in asthma. Neuroimmunomodulation. 1999 Jun;6(3):145–59.
29. Burburan SM, Xisto DG, Rocco PRM. Anaesthetic management in asthma. Minerva Anestesiol. 2007 Jun;73(6):357–65.
30. Tirumalasetty J, Grammer LC. Asthma, surgery, and general anesthesia: a review. J Asthma. 2006 May;43(4):251–4.
31. Liccardi G, Salzillo A, De Blasio F, et al. Control of asthma for reducing the risk of bronchospasm in asthmatics undergoing general anesthesia and/or intravascular administration of radiographic contrast media. Curr Med Res Opin. 2009 Jul;25(7):1621–30.
32. Silvanus M-T, Groeben H, Peters J. Corticosteroids and inhaled salbutamol in patients with reversible airway obstruction markedly decrease the incidence of bronchospasm after tracheal intubation. Anesthesiology. 2004 May;100(5):1052–7.
33. Jurell KR, O’Connor KW, Slack J, et al. Effect of supplemental oxygen on cardiopulmonary changes during gastrointestinal endoscopy. Gastrointest Endosc. 1994 Dec;40(6):665–70.
34. Tseng P-H, Liou J-M, Lee Y-C, et al. Emergency endoscopy for upper gastrointestinal bleeding in patients with coronary artery disease. Am J Emerg Med. 2009 Sep;27(7):802–9.
35. Schenck J, Müller CH, Lübbers H, et al. Does gastroscopy induce myocardial ischemia in patients with coronary heart disease? Endoscopy. 2000 May;32(5):373–6.
36. Spier BJ, Said A, Moncher K, et al. Safety of endoscopy after myocardial infarction based on cardiovascular risk categories: a retrospective analysis of 135 patients at a tertiary referral medical center. J Clin Gastroenterol. 2007 Jun;41(5):462–7.
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Vázquez Rodríguez J, Molina Villalba C, Martínez Amate E. Cardiorespiratory complications of digestive endoscopy not related to sedation. 6917/2020


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Publication history

Received: 27/01/2020

Accepted: 10/02/2020

Online First: 17/11/2020

Published: 08/03/2021

Article revision time: 12 days

Article Online First time: 295 days

Article editing time: 406 days


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