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Abstract. 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 interventions.
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.
24 Ιαν 2018 · In cases of perforation occurring during an operative colonoscopy (e.g., polypectomy, endoscopic mucosal resection, or endoscopic submucosal dissection), a surveillance colonoscopy should be performed according to the current guidelines to determine whether the resection during the primary endoscopy was complete. The surveillance endoscopy can ...
The therapeutic strategy varies based on the setting in which the ICP is diagnosed (i.e., intra- or post-colonoscopy), the specific characteristics of the perforation. (e.g., size, location, and etiology), the patient’s general sta-tus, and the skill level of the operator [8, 23, 24].
1 Ιουλ 2021 · All endoscopists should be aware of the procedures that carry an increased risk for perforation such as any dilation, foreign body removal, any per oral endoscopic myotomy (Zenker’s, esophageal, pyloric), stricture incision, thermal coagulation for hemostasis or tumor ablation, percutaneous endoscopic gastrostomy, ampullectomy, endoscopic mucosa...
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 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.
