[Colonic perforation during colonoscopy. 100 cases].
The analysis of 100 cases of colon perforation during colposcopic examinations highly demonstrates such a statement. The perforation risk during colposcopies is generally of the order of 0.2% for a diagnosis coloscopy. According to the statistic data used, it can reach 0.5 to 3% in therapy coloscopy. This is a risk inherent to the technique used. It is thus required to analyse the causes and take the appropriate measures to reduce it to a minimum. Mortality due to such a complication remains high (14%), i.e about 0.015 to 0.1% (#2/10000) of all colposcopies. In 11% of the patients, serious sequelae are to be observed. This demonstrates the significance of the medico-legal problem set by these perforations during colposcopies. The whole personnel responsibility can be involved: colposcopist, surgeon, anesthetist and hospital unit.
Hôpital Max Fourestier, Nanterre.
J
J
Hureau
L
L
Avtan
M
M
Germain
D
D
Blanc
G
G
Chaussade
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D003113:Colonoscopy / Q000009:adverse effects*; D005260:Female; D005602:France; D006801:Humans; D007351:Insurance, Liability; D007416:Intestinal Perforation / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D007603:Jurisprudence; D008297:Male; D008318:Malpractice; D008875:Middle Aged; D013997:Time Factors
Perforation colique au cours de la coloscopie. 100 observations.