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Critical decisions in the management of endoscopic perforations of the colon.
Am Surg. 2000 Jan; 66(1):91-3.AS

Abstract

The ideal management of suspected colon perforation following colonoscopy remains elusive because the incidence is only 0.1 to 2.0 per cent. The patient with obvious perforation deserves immediate exploration, but the patient with equivocal findings poses a diagnostic dilemma. We propose an algorithm based on the results of water-soluble contrast enema that allows for rapid, definitive surgical decision-making. If perforation is confirmed, early operation allows for primary repair without resection or colostomy, or if no perforation is identified, medical management can be undertaken with confidence. This algorithm should ensure that the surgical management of this potentially lethal complication is not unnecessarily delayed.

Authors+Show Affiliations

Department of Surgery, The Norwood Clinic, Inc., Birmingham, Alabama 35234, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10651356

Citation

Clements, R H., et al. "Critical Decisions in the Management of Endoscopic Perforations of the Colon." The American Surgeon, vol. 66, no. 1, 2000, pp. 91-3.
Clements RH, Jordan LM, Webb WA. Critical decisions in the management of endoscopic perforations of the colon. Am Surg. 2000;66(1):91-3.
Clements, R. H., Jordan, L. M., & Webb, W. A. (2000). Critical decisions in the management of endoscopic perforations of the colon. The American Surgeon, 66(1), 91-3.
Clements RH, Jordan LM, Webb WA. Critical Decisions in the Management of Endoscopic Perforations of the Colon. Am Surg. 2000;66(1):91-3. PubMed PMID: 10651356.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Critical decisions in the management of endoscopic perforations of the colon. AU - Clements,R H, AU - Jordan,L M, AU - Webb,W A, PY - 2000/1/29/pubmed PY - 2000/2/19/medline PY - 2000/1/29/entrez SP - 91 EP - 3 JF - The American surgeon JO - Am Surg VL - 66 IS - 1 N2 - The ideal management of suspected colon perforation following colonoscopy remains elusive because the incidence is only 0.1 to 2.0 per cent. The patient with obvious perforation deserves immediate exploration, but the patient with equivocal findings poses a diagnostic dilemma. We propose an algorithm based on the results of water-soluble contrast enema that allows for rapid, definitive surgical decision-making. If perforation is confirmed, early operation allows for primary repair without resection or colostomy, or if no perforation is identified, medical management can be undertaken with confidence. This algorithm should ensure that the surgical management of this potentially lethal complication is not unnecessarily delayed. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/10651356/Critical_decisions_in_the_management_of_endoscopic_perforations_of_the_colon_ L2 - https://medlineplus.gov/colonicdiseases.html DB - PRIME DP - Unbound Medicine ER -