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Perforations from colonoscopy during diagnosis and treatment of polyps.
Ann Chir Gynaecol. 1986; 75(3):142-5.AC

Abstract

Within a department specialized in surgical gastroenterology 11 perforations of the large bowel occurred over a 10 year period as complication of diagnosis and treatment of polyps by colonoscopy. The incidence by diagnostic colonoscopy was 0.6% (95% confidence interval 0.2-1.3%) and by polypectomy 0.7% (95% confidence interval 0.2-1.8%). Nine of the perforations were located in the sigmoid colon; one occurred retroperitonally in the descending colon. The lesions were from 1-8 cm long and were located in normal bowelsegments. The most important cause of perforation was forceful introduction of the scope and the use of electrocoagulation. The patients were treated by laparotomy and antibiotics. In six cases the operation was initiated within one hour after the perforation had occurred, the remaining 5 were operated on when they developed symptoms 1/2-3 days after the colonoscopy. One patient, a 84-year-old man, died of acute myocardial infarction 4 weeks after the operation.

Authors

Brynitz S
No affiliation info available
Kjaergård H
No affiliation info available
Struckmann J
No affiliation info available

MeSH

AdultAgedColonColonic PolypsColonoscopyFemaleHumansIntestinal PerforationMaleMiddle Aged

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3740781

Citation

Brynitz, S, et al. "Perforations From Colonoscopy During Diagnosis and Treatment of Polyps." Annales Chirurgiae Et Gynaecologiae, vol. 75, no. 3, 1986, pp. 142-5.
Brynitz S, Kjaergård H, Struckmann J. Perforations from colonoscopy during diagnosis and treatment of polyps. Ann Chir Gynaecol. 1986;75(3):142-5.
Brynitz, S., Kjaergård, H., & Struckmann, J. (1986). Perforations from colonoscopy during diagnosis and treatment of polyps. Annales Chirurgiae Et Gynaecologiae, 75(3), 142-5.
Brynitz S, Kjaergård H, Struckmann J. Perforations From Colonoscopy During Diagnosis and Treatment of Polyps. Ann Chir Gynaecol. 1986;75(3):142-5. PubMed PMID: 3740781.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforations from colonoscopy during diagnosis and treatment of polyps. AU - Brynitz,S, AU - Kjaergård,H, AU - Struckmann,J, PY - 1986/1/1/pubmed PY - 1986/1/1/medline PY - 1986/1/1/entrez SP - 142 EP - 5 JF - Annales chirurgiae et gynaecologiae JO - Ann Chir Gynaecol VL - 75 IS - 3 N2 - Within a department specialized in surgical gastroenterology 11 perforations of the large bowel occurred over a 10 year period as complication of diagnosis and treatment of polyps by colonoscopy. The incidence by diagnostic colonoscopy was 0.6% (95% confidence interval 0.2-1.3%) and by polypectomy 0.7% (95% confidence interval 0.2-1.8%). Nine of the perforations were located in the sigmoid colon; one occurred retroperitonally in the descending colon. The lesions were from 1-8 cm long and were located in normal bowelsegments. The most important cause of perforation was forceful introduction of the scope and the use of electrocoagulation. The patients were treated by laparotomy and antibiotics. In six cases the operation was initiated within one hour after the perforation had occurred, the remaining 5 were operated on when they developed symptoms 1/2-3 days after the colonoscopy. One patient, a 84-year-old man, died of acute myocardial infarction 4 weeks after the operation. SN - 0355-9521 UR - https://www.unboundmedicine.com/medline/citation/3740781/Perforations_from_colonoscopy_during_diagnosis_and_treatment_of_polyps_ DB - PRIME DP - Unbound Medicine ER -