Korean J Gastroenterol.  2019 Jun;73(6):327-331. 10.4166/kjg.2019.73.6.327.

Diagnosis and Management of Colonoscopy-related Perforation

Affiliations
  • 1Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. dhyang@amc.seoul.kr
  • 2Department of Gastroenterology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea.

Abstract

Colonoscopy is one of the most useful procedures for making the diagnosis and treating various colorectal diseases, but this procedure rarely causes serious complications such as perforation. The incidence of colon perforation during colonoscopy is low. However, as the demand for screening and surveillance colonoscopy has gradually increased and colonoscopic polypectomy has become a commoner procedure in daily clinical practice, endoscopists should pay attention to prevent and manage colonoscopy-related perforation. The purpose of this review is to briefly summarize the guidelines from the World Journal of Emergency Surgery for the management of colonoscopy-related perforation.

Keyword

Colonoscopy; Intestinal perforation; Colon

MeSH Terms

Colon
Colonoscopy
Diagnosis*
Emergencies
Incidence
Intestinal Perforation
Mass Screening

Figure

  • Fig. 1 Suggested algorithm for the management of colonoscopy-related perforation. aOpen laparotomy is necessary for treating the following conditions: very delayed surgery with diffuse peritonitis, hemodynamically unstable patients, pervious multiple surgeries and very large defects.14


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