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Do you bleed during an endoscopy?

Published in Endoscopy Complications 2 mins read

Bleeding during an endoscopy is possible, but it's generally uncommon.

While an endoscopy is generally a safe procedure, there are potential risks, including bleeding. The extent of bleeding can vary. According to available information, significant bleeding requiring further intervention is rare.

Potential Causes of Bleeding During Endoscopy:

  • Tissue Manipulation: The insertion and movement of the endoscope can sometimes cause minor abrasions or irritation, leading to slight bleeding.
  • Biopsy: If a biopsy (tissue sample) is taken during the endoscopy, there's a small risk of bleeding from the biopsy site.
  • Polypectomy: If polyps are removed (polypectomy), bleeding can occur at the site of removal.
  • Perforation: In very rare cases, the endoscope can cause a tear or hole (perforation) in the area being examined. This can lead to more significant bleeding and is considered a serious complication that requires immediate attention.

Management of Bleeding:

According to the reference, "rarely, a greater amount of bleeding may occur that will require repeat endoscopy and treatment to control." This highlights that if bleeding does occur and is more than minimal, further intervention may be needed.

  • Observation: Minor bleeding often stops on its own.
  • Cauterization: If bleeding persists, the endoscopist can use techniques like cauterization (burning) to stop the bleeding.
  • Clipping: Small clips can be applied to the bleeding site to close the vessel.
  • Repeat Endoscopy: In rare instances, a repeat endoscopy may be necessary to control the bleeding.

Summary:

While bleeding can occur during an endoscopy, it's not a typical occurrence. Minor bleeding is more common and often resolves on its own. Significant bleeding is rare, but if it happens, the endoscopist has several methods to control it.

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