Colonoscopic Perforation During a Diagnostic Colonoscopy.
- Author:
Jeong Ho KIM
1
;
Eun Jung JEON
;
Jun Ho SONG
;
Sang Hun LEE
;
Jin Hwan JUNG
;
Dae Young CHEUNG
;
Jin Il KIM
;
Soo Heon PARK
;
Jae Kwang KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. jikim@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Colon perforation;
Colonoscopy;
Complication
- MeSH:
Colon;
Colon, Sigmoid;
Colonoscopy;
Humans;
Peritonitis;
Rectum;
Retrospective Studies
- From:Korean Journal of Gastrointestinal Endoscopy
2011;42(5):289-292
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Colonoscopy is a useful method for detecting colorectal disease, but complications are on the rise due to the increasing number of colonoscopies. The aim of this study was to analyze colon perforations following diagnostic colonoscopies. METHODS: We performed retrospective reviews of all patients with colonoscopic perforations between January 2000 and June 2010. RESULTS: Of 25,883 diagnostic colonoscopies performed, seven cases of colon perforations were reported. Among those, five cases had an abdominal operation history; the site of perforation was the sigmoid colon in three cases and the rectum in four cases. The manipulation type was forward viewing in three cases and retroflexion in four cases. The time to diagnosis was immediate in six cases and delayed in one case, and treatment was conservative management in three cases and surgical management in four cases. CONCLUSIONS: Special attention is required for patients with a previous abdominal operation and retroflexion. Even after perforations occur, favorable outcomes can be obtained by conservative treatment if the patient's condition is stable, the bowel preparation is proper, and there are no signs of peritonitis.
