Incidence and management of colonoscopic perforations: 8 years' experience

Hagit Tulchinsky, Osnat Madhala-Givon, Nir Wasserberg, Shlomo Lelcuk, Yaron Niv

Research output: Contribution to journalReview articlepeer-review

58 Scopus citations


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.

Original languageEnglish
Pages (from-to)4211-4213
Number of pages3
JournalWorld Journal of Gastroenterology
Issue number26
StatePublished - 14 Jul 2006
Externally publishedYes


  • Colonoscopy
  • Complications
  • Management
  • Perforation
  • Polypectomy


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