TY - JOUR
T1 - Incidence and management of colonoscopic perforations
T2 - 8 years' experience
AU - Tulchinsky, Hagit
AU - Madhala-Givon, Osnat
AU - Wasserberg, Nir
AU - Lelcuk, Shlomo
AU - Niv, Yaron
PY - 2006/7/14
Y1 - 2006/7/14
N2 - Aim: To review the experience of a major medical teaching center with diagnostic and therapeutic colonoscopies and to assess the incidence and management of related colonic perforations. Methods: All colonoscopies performed between January 1994 and December 2001 were studied. Data on patients, colonoscopic reports and procedure-related complications were collected from the departmental computerized database. The medical records of the patients with post procedural colonic perforation were reviewed. Results: A total of 12 067 colonoscopies were performed during the 8 years of the study. Seven colonoscopic perforations (4 females, 3 males) were diagnosed (0.058%). Five occurred during diagnostic and two during therapeutic colonoscopy. Six were suspected during or immediately after colonoscopy. All except one had signs of diffuse tenderness and underwent immediate operation with primary repair done in 4 patients. No deaths were reported. Conclusion: Perforation rate during colonoscopy is low. Nevertheless, it is a serious complication and its early recognition and treatment are essential to optimize outcome. In patients with diffuse peritonitis early operative intervention makes primary repair a safe option.
AB - Aim: To review the experience of a major medical teaching center with diagnostic and therapeutic colonoscopies and to assess the incidence and management of related colonic perforations. Methods: All colonoscopies performed between January 1994 and December 2001 were studied. Data on patients, colonoscopic reports and procedure-related complications were collected from the departmental computerized database. The medical records of the patients with post procedural colonic perforation were reviewed. Results: A total of 12 067 colonoscopies were performed during the 8 years of the study. Seven colonoscopic perforations (4 females, 3 males) were diagnosed (0.058%). Five occurred during diagnostic and two during therapeutic colonoscopy. Six were suspected during or immediately after colonoscopy. All except one had signs of diffuse tenderness and underwent immediate operation with primary repair done in 4 patients. No deaths were reported. Conclusion: Perforation rate during colonoscopy is low. Nevertheless, it is a serious complication and its early recognition and treatment are essential to optimize outcome. In patients with diffuse peritonitis early operative intervention makes primary repair a safe option.
KW - Colonoscopy
KW - Complications
KW - Management
KW - Perforation
KW - Polypectomy
UR - http://www.scopus.com/inward/record.url?scp=33748611884&partnerID=8YFLogxK
U2 - 10.3748/wjg.v12.i26.4211
DO - 10.3748/wjg.v12.i26.4211
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C2 - 16830377
AN - SCOPUS:33748611884
SN - 1007-9327
VL - 12
SP - 4211
EP - 4213
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
IS - 26
ER -