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Contraindications Absolute contraindications to a colonoscopy include: Recent heart attack Hemodynamic instability Peritonitis Recent surgery with colonic anastomosis or bowel injury and repair Known or suspected colon perforation Fulminant colitis and severe toxic megacolon Potential Risks Potential risks of a colonoscopy include: Bleeding: Bleeding occurs in roughly 1 of 1,000 colonoscopies and is more likely to occur when a polyp is removed

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