ArticleSurgical endoscopy2016
Decision-making in the management of colonoscopic perforation: a multicentre retrospective study.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Laparoscopic vs. open surgery for the treatment of iatrogenic colonoscopic perforations: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2017Pooled it
- Iatrogenic perforation of a sigmoid diverticulum following diagnostic colonoscopy.International journal of surgery case reports · 2026Article
- Conservative management of delayed perforation after colorectal endoscopic submucosal dissection: a single-center experience.BMC gastroenterology · 2026Article
- Perforation of Jejunum as a Rare Complication of Pericardiocentesis: A Case Report.Clinical case reports · 2026Article
- Analysis of the Characteristics of Colonoscopy Perforation and Risk Factors for Failure of Endoscopic Treatment.Cureus · 2022Article
- Endoscopic Treatment of Iatrogenic Perforation of Sigmoid Diverticulum: A Case Report of Multidisciplinary Management.Clinical endoscopy · 2022Article
- The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- Clinical outcomes of laparoscopic versus open surgery for repairing colonoscopic perforation: a multicenter study.Surgery today · 2021Article
- Diagnosis at gut point: rapid identification of pneumoperitoneum via point-of-care ultrasound.The ultrasound journal · 2020Review
- Recognition and Management of Colonic Perforation following Endoscopy.Clinics in colon and rectal surgery · 2019Review
- Laparoscopic repair using an endoscopic linear stapler for management of iatrogenic colonic perforation during screening colonoscopy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Perforation causing abdominal compartment syndrome after colonoscopic polypectomy: A case report.International journal of surgery case reports · 2019Article
- Peritonitis and pneumoperitoneum after successful emergency pericardiocentesis in the case of a Chilaiditi syndrome.Journal of geriatric cardiology : JGC · 2019Article
- Abdominal Sepsis: An Update.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2018Review
- Management Outcomes of Colonoscopic Perforations Are Affected by the General Condition of the Patients.Annals of coloproctology · 2018Article
- Colonoscopic Perforations.Clinics in colon and rectal surgery · 2018Review
- 2017 WSES guidelines for the management of iatrogenic colonoscopy perforation.World journal of emergency surgery : WJES · 2018Review
- The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections.World journal of emergency surgery : WJES · 2017Review
- Repair of a colonoscopic perforation of the rectum with transanal endoscopic microsurgery.Techniques in coloproctology · 2016Article
- How Should We Manage Iatrogenic Perforation Caused by Colonoscopy?Clinical endoscopy · 2016Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of colonoscopic perforation has increased following the widespread use of colonoscopy for the diagnosis and treatment of colorectal disease. The purpose of our study was to compare the clinical outcomes between surgical and non-surgical treatment of colonoscopic perforation.
methodsWe retrospectively reviewed the medical records of patients with colonoscopic perforation, which was treated between January 2005 and December 2014. Patients were divided into two groups depending on whether they received non-surgical (conservative management or endoscopic clipping) or surgical (primary closure, bowel resection and anastomosis, and/or faecal diversion) initial treatment for the perforation. Conversion was defined as the change from a non-surgical to surgical procedure after treatment failure.
resultsOne hundred and nine patients were analysed. Surgical treatment was more common following diagnostic than therapeutic colonoscopic procedures (74.5 vs. 53.7 %, P = 0.023). Of 55 patients in the non-surgical group, 11 patients required conversion to surgery. The surgical group comprised 54 patients. The complication rate (P = 0.001), and the length of hospital stay (P < 0.001) were significantly greater in the patients requiring conversion than in the surgical group. Multivariate analysis showed that old age, American Society for Anesthesiologists score ≥ 3, and conversion were independent predictors of poor outcomes (P = 0.048, 0.032, and 0.001, respectively). Only perforation size was associated with conversion in multivariate analysis (P = 0.022).
conclusionIt is important to select an appropriate treatment in patients with colonoscopic perforation. To avoid non-surgical treatment failure, surgery should be considered in patients with a large perforation. By decreasing the rate of conversion, we might reduce the complication and mortality rates associated with colonoscopic perforation.
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