Tags

Type your tag names separated by a space and hit enter

Incidence and management of colonoscopic colon perforations: 10 years' experience.
Hepatogastroenterology. 2009 Nov-Dec; 56(96):1633-6.H

Abstract

BACKGROUND/AIMS

This paper aimed to review experience with diagnostic and therapeutic colonoscopies performed by a colorectal surgeon with special interest in colonoscopy over a 10-yr period and to assess incidence and management of colonic perforations.

METHODOLOGY

All colonoscopies performed between 1997 and 2007 were studied. Data on patients, colonoscopic reports and procedure-related complications were collected from computerized database. Medical records of patients with colonic perforation were reviewed.

RESULTS

7,804 colonoscopies were performed. Five colonoscopic perforations were identified (0.06%). Three occurred during diagnostic and two during therapeutic colonoscopy. All were suspected during or immediately after colonoscopy except for one therapeutic perforation diagnosed two days after the procedure. All perforations were surgically managed by the author. Surgery included conventional and laparoscopic repair, colectomy and proctocolectomy. There was need for stoma in one patient with pancolonic Crohn's disease with sigmoid colon stenosis. This patient underwent total proctocolectomy. There were no deaths.

CONCLUSIONS

The rate of perforation during colonoscopy is low and can be managed with no mortality. Early diagnosis and treatment are essential. Early operative intervention through primary repair represents is safe and effective. Managing colonic pathology demanding resection in the urgent setting may benefit selected patients with colonoscopy perforation.

Authors+Show Affiliations

Araujo SE
Endoscopy Unit, Hospital Santa Helena, São Paulo, SP, Brazil. sergioed@terra.com.br
Seid VE
No affiliation info available
Caravatto PP
No affiliation info available
Dumarco R
No affiliation info available

MeSH

AgedColonic DiseasesColonoscopyFemaleHumansIncidenceIntestinal PerforationMaleMiddle Aged

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20214207

Citation

Araujo, Sergio Eduardo Alonso, et al. "Incidence and Management of Colonoscopic Colon Perforations: 10 Years' Experience." Hepato-gastroenterology, vol. 56, no. 96, 2009, pp. 1633-6.
Araujo SE, Seid VE, Caravatto PP, et al. Incidence and management of colonoscopic colon perforations: 10 years' experience. Hepatogastroenterology. 2009;56(96):1633-6.
Araujo, S. E., Seid, V. E., Caravatto, P. P., & Dumarco, R. (2009). Incidence and management of colonoscopic colon perforations: 10 years' experience. Hepato-gastroenterology, 56(96), 1633-6.
Araujo SE, et al. Incidence and Management of Colonoscopic Colon Perforations: 10 Years' Experience. Hepatogastroenterology. 2009 Nov-Dec;56(96):1633-6. PubMed PMID: 20214207.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence and management of colonoscopic colon perforations: 10 years' experience. AU - Araujo,Sergio Eduardo Alonso, AU - Seid,Victor Edmond, AU - Caravatto,Pedro Paulo de Paris, AU - Dumarco,Rodrigo, PY - 2010/3/11/entrez PY - 2010/3/11/pubmed PY - 2010/3/26/medline SP - 1633 EP - 6 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 56 IS - 96 N2 - BACKGROUND/AIMS: This paper aimed to review experience with diagnostic and therapeutic colonoscopies performed by a colorectal surgeon with special interest in colonoscopy over a 10-yr period and to assess incidence and management of colonic perforations. METHODOLOGY: All colonoscopies performed between 1997 and 2007 were studied. Data on patients, colonoscopic reports and procedure-related complications were collected from computerized database. Medical records of patients with colonic perforation were reviewed. RESULTS: 7,804 colonoscopies were performed. Five colonoscopic perforations were identified (0.06%). Three occurred during diagnostic and two during therapeutic colonoscopy. All were suspected during or immediately after colonoscopy except for one therapeutic perforation diagnosed two days after the procedure. All perforations were surgically managed by the author. Surgery included conventional and laparoscopic repair, colectomy and proctocolectomy. There was need for stoma in one patient with pancolonic Crohn's disease with sigmoid colon stenosis. This patient underwent total proctocolectomy. There were no deaths. CONCLUSIONS: The rate of perforation during colonoscopy is low and can be managed with no mortality. Early diagnosis and treatment are essential. Early operative intervention through primary repair represents is safe and effective. Managing colonic pathology demanding resection in the urgent setting may benefit selected patients with colonoscopy perforation. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/20214207/Incidence_and_management_of_colonoscopic_colon_perforations:_10_years'_experience_ L2 - https://medlineplus.gov/colonicdiseases.html DB - PRIME DP - Unbound Medicine ER -