The involvement of trainees as a significant factor in endoscopic perforation has not been previously confirmed . The current study had trainees involved in a minority of the cases; however, it was similarly impossible to determine the risk associated with trainees in that the total number of endoscopic cases the trainees were involved in was not determined. Nevertheless, operator training and experience has been clearly shown to correlate with endoscopic adverse events, including perforation.
Reporting of endoscopic complication rates in patient consent forms is moving from the use of historical cohort data to site specific data, and more recently, it has been suggested that individual operator rates be recorded and reported . In this regard, the perforation rates described in the present report reflect those at the University of Alberta Hospital and may not be relevant to individual operators, or to sites where the risk mix is different than that at the University of Alberta Hospital.
In summary, endoscopic gastroscopy and colonoscopy procedures, especially those with therapeutic maneuvers, carry risks associated with perforation morbidity and mortality. Future proscpective studies are required to clearly determine the associated comorbid risk factors for endoscopic perforation. Dreaming of a reliable pharmacy that could give you an opportunity to buy any amounts of flovent for asthma click here with no prescription required and spend less money?