Colonoscopic perforation: Incidence, risk factors, management …
Colonoscopic perforation (CP) is widely recognized as one of the most serious complications following lower gastrointestinal endoscopies. Although CP is a rare complication, it is associated with a high rate of morbidity and mortality [1 - 5].
Colonoscopic Perforations - PMC
The surgical options for treating colonoscopic perforations are primary repair of the perforation, resection of the perforated colon segment with primary anastomosis, resection of the perforated colon segment with primary anastomosis along with protective proximal diversion (loop ileostomy or colostomy), and resection of the perforated colon ...
Perforation Following Colorectal Endoscopy: What Happens …
2013年6月1日 · Perforation is widely recognized as one of the most serious complications of endoscopy of the lower gastrointestinal tract. 1–10 Colonoscopy remains the gold standard for screening of colorectal cancer and is useful in the workup of many gastrointestinal conditions.
Risk of colon perforation during colonoscopy at Baylor …
The risk of colonic perforation during colonoscopy at the Baylor University Medical Center (BUMC) Gastrointestinal Laboratory was chosen as a surrogate marker for the safety of colonoscopy. A recent 2-year experience at BUMC was examined and compared with reports in the medical literature.
Risk of perforation from a colonoscopy in adults: a large
Results: A total of 228 perforations were diagnosed after 277,434 colonoscopies, which corresponded to a cumulative 7-day incidence of 0.082%. The OR of getting a perforation from a colonoscopy compared with matched controls (n = 1,072,723) who did not undergo a colonoscopy was 27.6 (95% CI, 19.04-39.92), P < .001.
Colonic perforation during colonoscopy may result from mechanical forces against the bowel wall, baro-trauma, or as a direct result of therapeutic procedures. Early symptoms of perforation include persistent abdom-inal pain and abdominal distention. Later, patients may develop peritonitis.
Complications of colonoscopy: common and rare—recognition, …
The sigmoid colon and rectosigmoid junction are the most common sites of perforation during diagnostic colonoscopy due to the shearing force applied by the shaft or tip of the instrument during insertion. Caecal perforation has been reported because of barotrauma, particularly if excessive air is introduced above an area of stenosis32 but this ...
Management of colonoscopic perforations: A systematic review
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.
2017 WSES guidelines for the management of iatrogenic colonoscopy ...
2018年1月24日 · 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 …
Incidence of colonoscopy-related perforation and risk factors for …
2023年4月17日 · Perforation is a life-threatening adverse event of colonoscopy that often requires hospitalization and surgery. We aimed to prospectively assess the incidence of colonoscopy-related perforation in a multicenter registry and to analyze the clinical factors associated with poor clinical outcomes.