Safety of Endoscopy in Heritable Connective Tissue Disorders

Am J Gastroenterol. 2019 Aug;114(8):1343-1345. doi: 10.14309/ajg.0000000000000189.


Introduction: Little is known about the gastrointestinal manifestations or safety of endoscopy among patients with heritable connective tissue disorders such as Marfan syndrome or Ehlers-Danlos syndrome (EDS).

Methods: We conducted an electronic cross-sectional survey nested within preexisting registries of patients with heritable connective tissue disorders and examined self-reported rates of endoscopic complications.

Results: The rate of endoscopy-related perforation was 9.4% (95% confidence interval 2.0%-25.0%) among individuals with vascular EDS, <1% in classical and hypermobility-type EDS, and zero in Marfan syndrome (P < 0.001). Spontaneous intestinal perforation was also significantly higher in the vascular EDS group.

Discussion: Clinicians should consider noninvasive screening methods for patients with vascular EDS.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Ehlers-Danlos Syndrome / complications*
  • Endoscopy, Gastrointestinal / adverse effects*
  • Female
  • Humans
  • Intestinal Perforation / etiology*
  • Male
  • Marfan Syndrome / complications*
  • Surveys and Questionnaires