Publication: Colonoscopic perforation: Incidence, risk factors, management and outcome
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Issued Date
2010-01-28
Resource Type
ISSN
10079327
Other identifier(s)
2-s2.0-76149134664
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Mahidol University
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SCOPUS
Bibliographic Citation
World Journal of Gastroenterology. Vol.16, No.4 (2010), 425-430
Suggested Citation
Varut Lohsiriwat Colonoscopic perforation: Incidence, risk factors, management and outcome. World Journal of Gastroenterology. Vol.16, No.4 (2010), 425-430. doi:10.3748/wjg.v16.i4.425 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/29791
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Title
Colonoscopic perforation: Incidence, risk factors, management and outcome
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Abstract
This review discusses the incidence, risk factors, management and outcome of colonoscopic perforation (CP). The incidence of CP ranges from 0.016% to 0.2% following diagnostic colonoscopies and could be up to 5% following some colonoscopic interventions. The perforations are frequently related to therapeutic colonoscopies and are associated with patients of advanced age or with multiple comorbidities. Management of CP is mainly based on patients' clinical grounds and their underlying colorectal diseases. Current therapeutic approaches include conservative management (bowel rest plus the administration of broadspectrum antibiotics), endoscopic management, and operative management (open or laparoscopic approach). The applications of each treatment are discussed. Overall outcomes of patients with CP are also addressed. © 2010 Baishideng. All rights reserved.