Colonoscopic Perforation; A 10-year Experience in Single General Hospital.
10.4166/kjg.2009.54.6.371
- Author:
Ji Eun OH
1
;
Sang Goon SHIM
Author Information
1. Department of Gastroenterology, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. jeoh78@yahoo.co.kr
- Publication Type:Original Article ; English Abstract
- Keywords:
Colonoscopy;
Colon perforation;
Operative surgical procedure;
Clipping
- MeSH:
Colonic Diseases/diagnosis/epidemiology/*etiology;
Colonoscopy/*adverse effects;
Humans;
*Iatrogenic Disease/epidemiology;
Incidence;
Intestinal Perforation/*diagnosis/epidemiology/*etiology;
Prognosis;
Retrospective Studies;
Risk Factors;
Sigmoidoscopy/adverse effects
- From:The Korean Journal of Gastroenterology
2009;54(6):371-376
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Colonoscopy is the principal method for diagnosis, treatment, and follow up of colorectal disease. The study aimed to assess the incidence, clinical features, and management of colonoscopic perforations at a local general hospital. METHODS: A retrospective review of patient record was performed for all patients with iatrogenic colonic perforation after sigmoidoscopy and colonoscopy between 1997 and 2007. RESULTS: In the 10-year period, 16,388 colonoscopic and sigmoidscopic procedure were performed. All 10 cases of procedure related colonic perforation were developed. Perforation occurred in 9 cases during therapeutic procedure; 5 cases due to polypectomy and 4 cases due to endoscopic submucosal dissection. Perforation occurred in one case during diagnostic procedure. CONCLUSIONS: Therapeutic procedure is a clear risk factor of colonic perforation. When colonic perforation occurs, we should be able to make early diagnosis. Early diagnosis can lead to a good treatment and can produce good prognosis with short hospital days.
