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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 ...
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.
Colonoscopic interventions include biopsy, snare polypectomy (with or without saline lift), endoscopic mucosal resection (EMR), and endoscopic submucosal dissection (ESD). Most of these interventions can be done with or without the use of electrocautery.
Colonic perforation: signs and symptoms. Early: Abdominal pain—especially persistent or disproportionate. Abdominal distension. Late: Haemodynamic compromise. Breathing difficulty. Signs of gut ischaemia. Surgical emphysema: neck swelling, chest pain, subcutaneous crepitus. Pneumothorax. Systemic inflammatory response. Confusion.
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, body mass index, albumin level, intensive care unit (ICU) patients, inpatient setting, and abdominal pain and Crohn’s disease as indications for colonoscopy.
The risk of perforation ranges from 0.027% to 0.088% for flexible sigmoidoscopy, from 0.016% to 0.2% for diagnostic colonoscopy, and up to 5% for therapeutic endoscopy. 1, 11 As the volume of both diagnostic and therapeutic endoscopic procedures increases, the absolute number of perforations will undoubtedly increase even with a relatively ...
