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. 2006 Nov 14;12(42):6857-60.
doi: 10.3748/wjg.v12.i42.6857.

Medical malpractice litigation related to gastrointestinal endoscopy in Japan: a two-decade review of civil court cases

Toru Hiyama  1 , Shinji Tanaka, Masaharu Yoshihara, Tatsuma Fukuhara, Shinichi Mukai, Kazuaki Chayama
Affiliations

Medical malpractice litigation related to gastrointestinal endoscopy in Japan: a two-decade review of civil court cases

Toru Hiyama et al. World J Gastroenterol. .

Abstract

Aim: To examine the allegations in malpractice litigations related to gastrointestinal endoscopy in Japan.

Methods: A retrospective review of cases tried in the civil court system during the 21-year period from 1985 to 2005, identified in a computerized legal database, was undertaken.

Results: Eighteen malpractice litigations and a total of 30 allegations were identified. Of the 18 (44%) malpractice litigations, 8 (44%) were related to esophagogastroduodenoscopy, 4 (22%) to colonoscopy, 4 (22%) to endoscopic sphincterotomy, and 2 (11%) to endoscopic retrograde cholangiopancreatography. Seventeen (94%) cases pertained to complications, and the remaining (6%) case pertained to misdiagnosis. In 10 cases, the patient died of the complications. Allegations were categorized as: (1) performance error during the endoscopic procedure (n = 12, 40%); (2) lack of informed consent (n = 9, 30%); (3) performance error during the treatment after the endoscopic procedure (n = 4, 13%); (4) premedication error (n = 3, 10%); (5) diagnostic error (n = 1, 3%); and (6) indication error for the endoscopic procedure (n = 1, 3%).

Conclusion: These data may aid in the design of risk prevention strategies to be used by gastrointestinal endoscopists.

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References

    1. Kern KA. Medical malpractice involving colon and rectal disease: a 20-year review of United States civil court litigation. Dis Colon Rectum. 1993;36:531–539. - PubMed
    1. Hiyama T, Hiyama E, Yoshihara M, Tanaka S. Learning from litigation cases. Risk-management in gastroenterological practice. Tokyo: Nihon Medical Center; 2005.
    1. Peghini PL, Salcedo JA, Al-Kawas FH. Traumatic uvulitis: a rare complication of upper GI endoscopy. Gastrointest Endosc. 2001;53:818–820. - PubMed
    1. Rino Y, Tokunaga M, Morinaga S, Onodera S, Tomiyama I, Imada T, Takanashi Y. The buried bumper syndrome: an early complication of percutaneous endoscopic gastrostomy. Hepatogastroenterology. 2002;49:1183–1184. - PubMed
    1. Plumeri PA, Rogers J. A lawyer's view of colon cancer in the 1980s. J Clin Gastroenterol. 1988;10:229–231. - PubMed

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