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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.
- Colonoscopic Perforations - PMC
In a patient who is at an exceedingly high risk of...
- The Outcomes of Management for Colonoscopic Perforation: A 12-Year ...
Results. The postoperative morbidity rate was 40%, and no...
- Colonoscopic Perforations - PMC
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
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.
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...
26 Αυγ 2019 · 1 Mention. Explore all metrics. Abstract. Background. The aim of this review is to evaluate and summarize the current strategies used in the management of colonoscopic perforations as well as propose a modern treatment algorithm. Methods. Articles published between January 2004 and January 2019 were screened.
31 Οκτ 2016 · Results. The postoperative morbidity rate was 40%, and no mortalities were noted. The incidence of abdominal pain and tenderness in patients who received only conservative management was significantly lower than in those who underwent surgery (P < 0.001 and P = 0.004, respectively).