Clinical features and risk factors for colorectal gas explosion during digestive endoscopy and surgery: a systematic review.

ABSTRACT:

Background and aims

Colorectal gas explosion (CGE) is an exceptional but potentially fatal complication of digestive endoscopy or surgery. The role played by bowel preparations and endoscopic or surgical devices in the risk of CGE is still unclear. We conducted a systematic review of the literature to identify risk factors for CGE.

Methods

We conducted a comprehensive literature search of multiple databases from inception to September 16, 2024 including all reports of CGE according to a systematic review protocol preregistered on the PROSPERO database (CRD42023455049). Additionally, we analyzed all trials that measured explosive gas levels after different bowel preparation strategies.

Results

Twenty-nine case reports, three case series, and eleven trials were included

SUBMITTER: Tontini GE 

PROVIDER: S-EPMC11666635 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature