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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/19465
Title: Colonoscopic perforation: A report from World Gastroenterology Organization endoscopy training center in Thailand
Authors: Varut Lohsiriwat
Sasithorn Sujarittanakarn
Thawatchai Akaraviputh
Narong Lertakyamanee
Darin Lohsiriwat
Udom Kachinthorn
Mahidol University
Keywords: Medicine
Issue Date: 21-Nov-2008
Citation: World Journal of Gastroenterology. Vol.14, No.43 (2008), 6722-6725
Abstract: Aim: To determine the incidence of colonoscopic perforation (CP), and evaluate clinical findings, management and outcomes of patients with CP from the World Gastroenterology Organization (WGO) Endoscopy Training Center in Thailand. Methods: All colonoscopies and sigmoidoscopies performed between 1999 and 2007 in the Endoscopic unit, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok were reviewed. Incidence of CP, patients' characteristics, endoscopic information, intra-operative findings, management and outcomes were analyzed. Results: A total of 17 357 endoscopic procedures of the colon (13 699 colonoscopies and 3658 flexible sigmoidoscopies) were performed in Siriraj hospital over a 9-year period. Fifteen patients (0.09%) had CP: 14 from colonoscopy and 1 from sigmoidoscopy. The most common site of perforation was in the sigmoid colon (80%), followed by the transverse colon (13%). Perforations were caused by direct trauma from either the shaft or the tip of the endoscope (n = 12, 80%) and endoscopic polypectomy (n = 3, 20%). All patients with CP underwent surgical management: primary repair (27%) and bowel resection (73%). The mortality rate was 13% and postoperative complication rate was 53%. Conclusion: CP is a rare but serious complication following colonoscopy and sigmoidoscopy, with high rates of morbidity and mortality. Incidence of CP was 0.09%. Surgery is still the mainstay of CP management. © 2008 The WJG Press. All rights reserved.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=63449092277&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/19465
ISSN: 10079327
Appears in Collections:Scopus 2006-2010

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