30. Endoscopy in Hematologic Malignancies

  1. John C. Deutsch MD2 and
  2. Matthew R. Banks FRCP, PhD3
  1. William A. Ross

Published Online: 26 FEB 2013

DOI: 10.1002/9781118555651.ch30

Gastrointestinal Endoscopy in the Cancer Patient

Gastrointestinal Endoscopy in the Cancer Patient

How to Cite

Ross, W. A. (2013) Endoscopy in Hematologic Malignancies, in Gastrointestinal Endoscopy in the Cancer Patient (eds J. C. Deutsch and M. R. Banks), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118555651.ch30

Editor Information

  1. 2

    Essentia Health Systems Duluth, MN, USA

  2. 3

    University College London Hospitals NHS Trust London, UK

Publication History

  1. Published Online: 26 FEB 2013
  2. Published Print: 7 APR 2013

ISBN Information

Print ISBN: 9780470672464

Online ISBN: 9781118555651

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Keywords:

  • neutropenia;
  • thrombocytopenia;
  • leukemia;
  • gastrointestinal hemorrhage;
  • endoscopy;
  • enterocolitis;
  • graft-versus-host disease;
  • mucositis;
  • chemotherapy;
  • cancer

Summary

Patients with hematological malignancies present many unique challenges to the gastroenterologist. Myelosuppression creates an environment that increases risk of infections and bleeding. Treatment can lead to complications that are rare in other populations, such as neutropenic enterocolitis and graft-versus-host disease. Nevertheless, the literature argues that endoscopy can play both a diagnostic and therapeutic role without excessive risk. The current evidence is reviewed and guidelines are provided to assist the clinician in their approach to these patients.