J Vokurka1. 1. First Department of Surgery, Medical faculty, St. Anna's University Hospital, Brno, Czech Republic. vokurka@med.muni.cz
Abstract
OBJECTIVE: The study was aimed to highlighting the situations leading to increased risk of iatrogenic perforation during an endoscopic examination of the GIT. The optimization of surgical care procedure following intestinal perforation was suggested as well. METHODS: We analysed 3897 colonoscopic examinations performed during the past 5 years. We have found 6 cases (0.15 %) of iatrogenic colon perforation. RESULTS: All six cases of iatrogenic GIT perforations were followed by surgical revision. A suture was done twice, stomy three times, resection once, and restomisation also once. CONCLUSIONS: Polypectomy of thick polyps with a wider base and more rigid consistency is dangerous. The longer is the time and stronger the coagulation, the higher is the chance of iatrogenic perforation. Therefore we recommend laparoscopically assisted procedure. (Ref. 10.)
OBJECTIVE: The study was aimed to highlighting the situations leading to increased risk of iatrogenic perforation during an endoscopic examination of the GIT. The optimization of surgical care procedure following intestinal perforation was suggested as well. METHODS: We analysed 3897 colonoscopic examinations performed during the past 5 years. We have found 6 cases (0.15 %) of iatrogenic colon perforation. RESULTS: All six cases of iatrogenic GIT perforations were followed by surgical revision. A suture was done twice, stomy three times, resection once, and restomisation also once. CONCLUSIONS: Polypectomy of thick polyps with a wider base and more rigid consistency is dangerous. The longer is the time and stronger the coagulation, the higher is the chance of iatrogenic perforation. Therefore we recommend laparoscopically assisted procedure. (Ref. 10.)
Authors: Nicola de'Angelis; Salomone Di Saverio; Osvaldo Chiara; Massimo Sartelli; Aleix Martínez-Pérez; Franca Patrizi; Dieter G Weber; Luca Ansaloni; Walter Biffl; Offir Ben-Ishay; Miklosh Bala; Francesco Brunetti; Federica Gaiani; Solafah Abdalla; Aurelien Amiot; Hany Bahouth; Giorgio Bianchi; Daniel Casanova; Federico Coccolini; Raul Coimbra; Gian Luigi de'Angelis; Belinda De Simone; Gustavo P Fraga; Pietro Genova; Rao Ivatury; Jeffry L Kashuk; Andrew W Kirkpatrick; Yann Le Baleur; Fernando Machado; Gustavo M Machain; Ronald V Maier; Alain Chichom-Mefire; Riccardo Memeo; Carlos Mesquita; Juan Carlos Salamea Molina; Massimiliano Mutignani; Ramiro Manzano-Núñez; Carlos Ordoñez; Andrew B Peitzman; Bruno M Pereira; Edoardo Picetti; Michele Pisano; Juan Carlos Puyana; Sandro Rizoli; Mohammed Siddiqui; Iradj Sobhani; Richard P Ten Broek; Luigi Zorcolo; Maria Clotilde Carra; Yoram Kluger; Fausto Catena Journal: World J Emerg Surg Date: 2018-01-24 Impact factor: 5.469