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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].
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.
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.
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 ...
The final model resulted in the following risk factors which were significantly associated with risk of colonic perforation: age, gender, BMI, albumin level, ICU patients, inpatient setting, and abdominal pain and Crohn’s disease as indications for colonoscopy.
More serious complications of colonoscopy are hemorrhage, injury to the spleen, and perforation, which may require hospitalization, blood transfusion, or surgery. These complications are more frequent following polyp removal, but serious problems usually occur in less than one percent of patients. An additional risk of colonoscopy is
