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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].
- Risk factors for colonoscopic perforation: A population-based study of ...
We found low albumin level to be associated with a higher...
- Risk factors for colonoscopic perforation: A population-based study of ...
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
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.
We found low albumin level to be associated with a higher risk for perforation. It is possible that a low albumin may decrease the tensile strength of the colonic wall and also generally indicates poor health status that can theoretically predispose to higher risk for perforation.
1 Ιουλ 2021 · When facing a perforation, the endoscopy team must stay calm, collected, and work together promptly and harmoniously, quickly assessing how the perforation can be best managed while keeping the area of perforation clean and preventing extraluminal spillage of gastrointestinal contents.
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.
