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Colonoscopic perforation (CP) is widely recognized as one of the most serious complications following lower gastrointestinal endoscopies. Although CP is a rare complication, it is associated with a high rate of morbidity and mortality [1 - 5].
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
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 ...
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.
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.
The risk factors for perforation from colorectal endoscopy have been well studied, but little is known about clinical outcomes beyond the immediate event. Objective: To evaluate short- and long-term outcomes of iatrogenic colorectal perforation following colorectal endoscopy.
Colonoscopic perforation: Risk factors, identification, management. This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Melissa P Lapinska during the When Bad Things Happen to Good People – Endoscopy: Being FLEXible on April 14 2018.
