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Optimizing time management after perforation by colonoscopy results in better outcome for the patients.
Hepatogastroenterology. 2008 Jul-Aug; 55(85):1308-10.H

Abstract

BACKGROUND/AIMS

Perforation during colonoscopy is a rare but severe complication. The aim of this study was to assess the time management and laparoscopic therapy of this complication and to evaluate patient outcomes.

METHODOLOGY

A retrospective analysis was done on 15 patients operated for a perforation from colonoscopy between January 2000 and December 2006.

RESULTS

Three perforations occurred during diagnostic and 12 perforations during interventional colonoscopy. Two perforations occurred as transmural thermal injury to the colon wall. Peritonitis was found in 4 cases and significantly correlated with the mean time between perforation and operation. Twelve perforations were oversewn laparoscopically and 3 perforations were oversewn by laparotomy. After laparoscopic treatment, hospital stay was significantly shorter than after laparotomy. One patient had a postoperative wound infection, mortality was 0%.

CONCLUSIONS

Laparoscopic oversewing is a safe and effective method in the treatment of perforation from colonoscopy. Optimizing the time range between perforation and laparoscopic therapy results in a better outcome for the patients.

Authors+Show Affiliations

Rumstadt B
Diakonie Hospital Mannheim, Surgical Department, Speyerer Strasse 91- 3, 68163 Mannheim, Germany. b.rumstadt@diako-ma.de
Schilling D
No affiliation info available

MeSH

AgedAged, 80 and overCohort StudiesColonic DiseasesColonoscopyFemaleHumansIntestinal PerforationLaparoscopyMaleMiddle AgedRetrospective StudiesTime FactorsTime ManagementTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18795678

Citation

Rumstadt, Bernhard, and Dieter Schilling. "Optimizing Time Management After Perforation By Colonoscopy Results in Better Outcome for the Patients." Hepato-gastroenterology, vol. 55, no. 85, 2008, pp. 1308-10.
Rumstadt B, Schilling D. Optimizing time management after perforation by colonoscopy results in better outcome for the patients. Hepatogastroenterology. 2008;55(85):1308-10.
Rumstadt, B., & Schilling, D. (2008). Optimizing time management after perforation by colonoscopy results in better outcome for the patients. Hepato-gastroenterology, 55(85), 1308-10.
Rumstadt B, Schilling D. Optimizing Time Management After Perforation By Colonoscopy Results in Better Outcome for the Patients. Hepatogastroenterology. 2008 Jul-Aug;55(85):1308-10. PubMed PMID: 18795678.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optimizing time management after perforation by colonoscopy results in better outcome for the patients. AU - Rumstadt,Bernhard, AU - Schilling,Dieter, PY - 2008/9/18/pubmed PY - 2009/1/14/medline PY - 2008/9/18/entrez SP - 1308 EP - 10 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 55 IS - 85 N2 - BACKGROUND/AIMS: Perforation during colonoscopy is a rare but severe complication. The aim of this study was to assess the time management and laparoscopic therapy of this complication and to evaluate patient outcomes. METHODOLOGY: A retrospective analysis was done on 15 patients operated for a perforation from colonoscopy between January 2000 and December 2006. RESULTS: Three perforations occurred during diagnostic and 12 perforations during interventional colonoscopy. Two perforations occurred as transmural thermal injury to the colon wall. Peritonitis was found in 4 cases and significantly correlated with the mean time between perforation and operation. Twelve perforations were oversewn laparoscopically and 3 perforations were oversewn by laparotomy. After laparoscopic treatment, hospital stay was significantly shorter than after laparotomy. One patient had a postoperative wound infection, mortality was 0%. CONCLUSIONS: Laparoscopic oversewing is a safe and effective method in the treatment of perforation from colonoscopy. Optimizing the time range between perforation and laparoscopic therapy results in a better outcome for the patients. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/18795678/Optimizing_time_management_after_perforation_by_colonoscopy_results_in_better_outcome_for_the_patients_ L2 - https://medlineplus.gov/colonicdiseases.html DB - PRIME DP - Unbound Medicine ER -