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postpolypectomy electrocoagulation syndrome
Etiology:
- polypectomy with electrocoagulation during colonoscopy
Epidemiology:
- 0.1% to 0.003%
Pathology:
- electrocoagulation injury to the colon that results in a transmural burn & localized peritonitis
Clinical manifestations:
- patients generally present 1-5 days post colonoscopy
- fever
- localized abdominal pain
- localized peritoneal signs
Laboratory:
- complete blood count (CBC)
- leukocytosis
Radiology:
- no evidence of intestinal perforation
Management:
- intravenous hydration
- broad spectrum parenteral antibiotics
- nothing by mouth until symptoms resolve
- outpatient management with oral antibiotics has been reported
Related
colonoscopy
General
syndrome
References
- Complications of Colonoscopy
American Society of Gastrointestinal Endoscopy
http://www.asge.org/WorkArea/showcontent.aspx?id=14600
(corresponding NGC guideline withdrawn Nov 2016)