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Severe diverticular disease, pericolonic adhesions and inflammatory bowel disease increase the risk of perforation, especially in patients with active disease or on corticosteroids.33 Other risk factors include older age, comorbidities and endoscopist experience.34
This review discusses the incidence, risk factors, management and outcome of colonoscopic perforation (CP). The incidence of CP ranges from 0.016% to 0.2% following diagnostic colonoscopies and could be up to 5% following some colonoscopic ...
Visual recognition of perforation or sites that are high risk to perforate at the time of the colonoscopy and its immediate closure offer the best potential for preventing any sequelae and for reducing its morbidity and mortality.
11 Ιαν 2018 · The gastrointestinal risks of colonoscopy are well-understood, with an increased risk of perforation or lower gastrointestinal bleeding. 2–5 The recent US Preventive Services Task Force technical review estimated risks of perforation of 4 per 10,000 (95% confidence interval, 2-5) and major hemorrhage of 8 per 10,000 (95% confidence interval ...
26 Αυγ 2019 · Colonoscopies are relatively safe, with only an 8 in 10,000 risk for serious complications—the most concerning of which is perforation of the colon [1,2,3]. Colonic perforations can also lead to severe bleeding, peritonitis, and sepsis.
Perforation during colonoscopy is a rare but well recognized complication with significant morbidity and mortality. We aim to systematically review the currently available literature concerning care and outcomes of colonic perforation. An algorithm is created to guide the practitioner in management of this challenging clinical scenario.
11 Αυγ 2020 · Perforation is the most dreaded complication of colonoscopy, and risk increases with therapeutic interventions. Increasing adoption of aggressive resectional procedures such as EMR and ESD further increase risk. Managing colonic perforation depends upon the extent of the injury and when recognized.
