[Colonic perforation in patients undergoing colonoscopy].
Colonic perforations associated with colonoscopy are uncommon. We determined the incidence, clinical presentation, and medical and surgical treatments of iatrogenic colon perforations. We present the medical records of 8 patients with iatrogenic colorectal perforations seen over a period of 17 years. The median age 68.3 years. Emergency laparotomy was performed in 7 patients. One case was treated with a medical approach. One postoperative death occurred. In the absence of significant contamination primary repair is the best treatment. Non-operative management is indicated in patients without peritoneal irritation.
Sivelli
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Istituto di Clinica Chirurgica Generale e dei Trapianti d'Organo, Università di Parma, Via Gramsci, 14, 43100 Parma.
Del Rio
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Dalla Valle
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Sianesi
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D000368:Aged; D003106:Colon / Q000293:injuries*; D003113:Colonoscopy / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology