Dear BSG member,

NHSE have contacted the BSG Clinical Services & Standards Committee (CSSC) over their concerns about biopsies of the cervix being taken at colonoscopy. They report that over the last two years there have five reported cases of this occurring. It is not clear how or why this happened. Although this is a tiny proportion of the total number of endoscopies it is clearly an important safety issue. The CSSC recommends that after rectal intubation the perineum should always be visually inspected to ensure the correct orifice has been used prior to further progress being made and/or biopsies being taken.

Clinical Services and Standards Committee, BSG

J Stewart Lead for Patient Safety, BSG