ArticleDigestive diseases and sciences2025
Splenic Injuries Due to Colonoscopy in Adult Out-Patients-A Registry-Based Study.
Article in Digestive diseases and sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Splenic laceration following routine colonoscopy: a case report.Journal of surgical case reports · 2025Article
- Clinical Insights on "Splenic Injuries Due to Colonoscopy in Adult Out-Patients-A Registry-Based Study".Digestive diseases and sciences · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of splenic injuries due to colonoscopy is largely unknown but seems to be substantial in hospitalized patients. The risk may be lower in out-patients.
objectiveThe incidence, risk factors, and outcome of splenic lesions was studied in 1.44 million cases with a complete out-patient colonoscopy.
methodsUsing an administrative data base of a health insurance company with 11 million insured subjects, patients undergoing out-patient colonoscopy associated with a splenic injury within 7 days were retrieved from the records based upon OPS and EBM (comparable to ICPM) and ICD-10 codes. In each case identified (n = 163), the clinical course was reconstructed by 2 physicians. Patients with other causes of splenic injuries (abdominal surgery, trauma etc.) were excluded.
resultsAmong 1,443,341 total colonoscopies in out-patients over a 5-year period, 46 splenic lesions were most likely solely due to colonoscopy. This accounts for 3.19 splenic injuries per 100,000 colonoscopies or 1 lesion in 31,400 patients. Afflicted patients were more likely to be female (relative risk: 1.7) than male. Surgical interventions were carried out in 19 cases (41%), predominantly splenectomy (n = 17), whereas 27 events (59%) were managed conservatively. Transfusions and intensive care treatment were predictors for the need of surgery. Most lesions (63%) were diagnosed within 48 h after colonoscopy.
conclusionAdministrative data analysis suggests that splenic Injuries due to colonoscopy are less frequent compared to hospitalized patients. Endoscopists should be aware of this rare and life-threatening adverse event.
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