Risks
By Mayo Clinic staffEndoscopy is a safe procedure. However it carries a very small risk of complications, including:
- Bleeding. Your risk of bleeding complications after endoscopy is increased if the procedure involves removing a piece of tissue for testing (biopsy) or for treating a digestive system problem. In rare cases, such bleeding may require a blood transfusion.
- Infection. An infection caused by an endoscopy procedure may require antibiotics.
- Tearing of the gastrointestinal tract. A tear in your esophagus or another part of your upper digestive tract may require hospitalization, and sometimes surgery to repair it.
You can reduce your risk of complications by carefully following your doctor's instructions for preparing for endoscopy, such as fasting and stopping certain medications.
Signs and symptoms that could indicate a complication
Signs and symptoms to watch for after your endoscopy include:
- Fever
- Chest pain
- Shortness of breath
- Black or very dark colored stool
- Difficulty swallowing
- Severe or persistent abdominal pain
- Vomiting
Call your doctor immediately or go to an emergency room if you experience any of these signs or symptoms.
- Pasricha PJ. Gastrointestinal endoscopy. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/201609212-3/0/1492/0.html. Accessed May 26, 2010.
- Kimmey MB. Complications of gastrointestinal endoscopy. In: Feldman M, et al. Sleisinger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa.: Saunders; 2010. http://www.mdconsult.com/book/player/linkTo?type=bookHome&isbn=978-1-4160-6189-2&eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&uniq=200844987-3. Accessed May 26, 2010.
- Upper GI endoscopy. National Institute of Diabetes and Digestive and Kidney Diseases. http://digestive.niddk.nih.gov/ddiseases/pubs/upperendoscopy/index.htm. Accessed May 25, 2010.
- Upper endoscopy. Society of American Gastrointestinal and Endoscopic Surgeons. http://www.sages.org/publication/id/PI16/. Accessed May 25, 2010.
- Preparing for an upper GI endoscopy. American Gastroenterological Association. http://www.gastro.org/patient-center/procedures/upper-gi-endoscopy. Accessed May 25, 2010.
- Upper endoscopy. Cancer.Net. http://www.cancer.net/patient/All+About+Cancer/Cancer.Net+Features/Cancer+Screening+and+Prevention/Upper+Endoscopy%26mdash%3BWhat+to+Expect. Accessed May 25, 2010.
- Picco MP (expert opinion). Mayo Clinic, Jacksonville, Fla. June 10, 2010.

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