In this study, we aimed to discuss the characteristics of the cases of ICP, the underlying reasons for its occurrence, our treatment approaches, and results in the light of the current literature. According to the characteristics of the perforation, endoscopic or surgical therapy must be chosen ( 10- 12). The experience of and attention given to such complications by the endoscopist are crucial. Formation of iatrogenic colon perforation (ICP) is reported to be related with the age of the patient, insufficient bowel cleansing, presence of dolichocolon, previous abdominal surgeries, procedure type, use of analgesics during the procedure, procedure speed and insufficiency of the time allocated, experience of the endoscopist performing the procedure, and quality of the endoscopy system ( 6- 8).ĭetection and treatment of colon perforation during the procedure is critical in preventing mortality and morbidity ( 9). Major cause of mortality is generalized peritonitis and sepsis as a consequence of late detection of perforation and delayed treatment ( 4, 5). Mortality due to colon perforation has been reported in the range of 0%-0.05% ( 3). Perforation frequency is reported to range from 0.03% to 0.8% in diagnostic colonoscopy ( 2). During this procedure, bleeding and perforation that occur independently or iatrogenic are the most feared and common complications ( 1). Keywords: Colon perforation, colonoscopy, complication IntroductionĬolonoscopy is the most effective diagnostic/treatment method in the detection and treatment of colon and distal ileum pathologies.
Barotrauma colon full#
The patients who did not develop complications in the postoperative follow-up were discharged with full recovery.Ĭonclusion: Prompt diagnosis and appropriate treatment of ICP is crucial to prevent morbidity and mortality. The patients were hospitalized for an average of 7.14 days. In the patients who underwent laparotomy, primary repair was performed in three patients, partial colon resection and end-to-end anastomosis in one patient, and loop colostomy in one patient. Whereas surgical procedures were performed in all patients, the type of the procedure varied laparoscopic primary repair was performed in two patients and laparotomy in five patients. The diagnosis was made during the procedure in six patients and after eight hours in one patient, and their treatment was performed urgently. Results: A total of seven cases of ICP were detected. Material and Methods: We retrospectively evaluated the cases of ICP among 9.709 lower gastrointestinal system endoscopy procedures (colonoscopy + rectosigmoidoscopy) performed for diagnostic purposes in our endoscopy clinic during 2002-2020.
In this study, we aimed to discuss the characteristics of the cases of ICP we encountered in our endoscopy clinic, its etiology, our treatment approaches, and results in the light of the current literature. Objective: latrogenic colon perforation (ICP) is one of the most feared complications of colonoscopy and causes unwanted morbidity and mortality. Nihat Gülaydın 1, Raim İliaz 2, Atakan Özkan 1, A Hande Gökçe 1, Hanifi Önalan 1, Berrin Önalan 3, Aziz Arı 4ġDepartment of General Surgery, Atlas University Faculty of Medicine, İstanbul, TürkiyeĢDepartment of Gastroenterology, Atlas University Faculty of Medicine, İstanbul, TürkiyeģClinic of General Surgery, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, TürkiyeĤClinic of General Surgery, İstanbul Training and Research Hospital, İstanbul, Türkiye Abstract Treated with a favourable outcome.Iatrogenic colon perforation during colonoscopy, diagnosis/treatment, and follow-up processes: A single-center experience We report a case of Colonic Barotrauma with tension pneumoperitoneum, Prompt surgical intervention, else, it may prove fatal. Pneumatic rupture of colon accompanied by tension pneumoperitoneum is a rare, unique and serious emergency that warrants It occurs in younger individuals and rapidly However, Barotrauma to bowel, from compressed air or liquid is of rare occurrence. They are commonly encountered in patients of advanced age with multiple co morbidities. The colonic perforations due to Barotrauma are frequently related to therapeutic colonoscopies and do not result in tension pneumoperitoneum. Iatrogenic, accidental or solid object inflicted colonic injuries are common. Volume : III, Issue : IV, April - 2014 Colonic Barotrauma with Tension Pneumoperitoneum – Review of Literature and Report of A Successfully Treated Caseĭr.
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