Korean J Gastroenterol.  2009 Dec;54(6):371-376. 10.4166/kjg.2009.54.6.371.

Colonoscopic Perforation; A 10-year Experience in Single General Hospital

• Oh JE
• Shim SG

• KMID: 1775936
• DOI: http://doi.org/10.4166/kjg.2009.54.6.371

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.

Keyword

Colonoscopy; Colon perforation; Operative surgical procedure; Clipping

MeSH Terms

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

Figure

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  Fig. 1. Plain film of the chest X-ray (A) and simple abdomen (B). After colon perforation, free air under the both diaphragm were noted.

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  Figs. 2. Colonoscopic findings. (A) A small perforation was noted after polypectomy in the rectosigmoid junction. (B) The perforated opening was enclosed by endoclipping with 3 clips.

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