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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 ...
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
In a patient who is at an exceedingly high risk of colonoscopic perforation, it may be wise to obtain a virtual CT colonography instead of attempting a colonoscopy. All physicians performing colonoscopies should be well versed with the presentation and diagnosis of a perforation.
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 ...
Advanced age and female gender were significantly more likely to have perforation. Increasing albumin and BMI resulted in decreased risk of colonic perforation. Having a colonoscopy indication of abdominal pain or Crohn’s disease resulted in a higher risk of colonic perforation.
24 Ιαν 2018 · The risk factors for ICP included age over 75 years (4- to 6-fold increase), colonoscopy instead of sigmoidoscopy (2–4 times greater), female gender, diverticular disease, previous abdominal surgery, and multiple comorbidities, including diabetes mellitus, chronic pulmonary disease, congestive heart failure, myocardial infarction ...
Background. 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.
