title: Colonoscopic Perforations, What is Our Experience in a Training Hospital?
abstract: The aim of this study was to describe our experience in patients treated with the diagnosis of colonoscopic perforation. A retrospective institutional computer-based search of the patients treated with the diagnosis of colonoscopic perforation between July 2009 and May 2014 was undertaken. Our study included 16 patients. In 9 (56%) patients, perforations occurred during the diagnostic colonoscopy. Snare polypectomy was the causative factor in 5 patients associated with therapeutic colonoscopy. The perforation was significantly higher in patients who underwent therapeutic colonoscopy than those had diagnostic colonoscopy (P<0.007). The sigmoid colon was the most common perforation site (62.5%). Twelve patients (75%) were treated by surgically, 3 (19%) patients by conservatively, and 1 (6%) by endoscopic clipping. Early recognition of the perforation is critical. Therefore, a high index of suspicion is essential for the prompt and accurate diagnosis.
authors.affiliation: *Medical Faculty, Department of General Surgery, School of Medicine, Yuzuncu Yil University, Van †Department of General Surgery, Bakirköy Dr. Sadi Konuk Research and Teaching Hospital, Istanbul ‡Department of General Surgery, Göksun State Hospital, Kahramanmaraş, Turkey.
authors.forename: Abbas
authors.initials: A
authors.lastname: Aras
authors.forename: Ebru
authors.initials: E
authors.lastname: Oran
authors.forename: Hakan
authors.initials: H
authors.lastname: Seyit
authors.forename: Mehmet
authors.initials: M
authors.lastname: Karabulut
authors.forename: İlhan
authors.initials: İ
authors.lastname: Gök
authors.forename: Halil
authors.initials: H
authors.lastname: Aliş
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000293:injuries* / Q000601:surgery; D012809:Colon, Sigmoid / Q000293:injuries; D003113:Colonoscopy / Q000009:adverse effects*; D042241:Early Diagnosis; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007082:Ileum / Q000293:injuries; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012007:Rectum / Q000293:injuries; D012189:Retrospective Studies