Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia / Diagnosis and management of colon perforation after colonoscopy
Rev. méd. Chile
;
136(3): 310-316, mar. 2008. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-484900
ABSTRACT
Background:
Colon perforation is an uncommon but feared complication of colonoscopy. The treatment is usually surgical but occasionally it does not require an operation.Aim:
To report our experience in the diagnosis and management of colon perforation after colonoscopy. Material andmethods:
Retrospective review of the database of 11,720 colonoscopies. The medical records of those patients that had a perforation were reviewed.Results:
Twelve perforations in patients aged 26 to 92 years (six women), were identified with a global perforation rate of 0.1 percent. Five occurred during diagnostic and seven during therapeutic procedures. All perforations were confirmed by a plain X ray or CT scan of the abdomen. Four patients, without signs of initial diffuse peritoneal irritation, were medically treated. One of these, finally required surgery. Among operated patients, a primary suture was done in five, a primary excision without colostomy in three and a Hartmann procedure due to a severe peritoneal contamination in one. No patient died.Conclusions:
There is a higher risk of colon perforation during therapeutic colonoscopies. Selected cases may be safely treated without surgery.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Colonoscopy
/
Colon
/
Intestinal Perforation
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Risk factors
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2008
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Las Condes/CL
/
Pontificia Universidad Católica de Chile/CL
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