ReviewWorld journal of emergency surgery : WJES2018
2017 WSES guidelines for the management of iatrogenic colonoscopy perforation.
Review in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 6 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
54 citing papers in PubMed, 6 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- EFFICACY OF WATER INFUSION VERSUS AIR/CO2 INSUFFLATION FOR COLONOSCOPY: A SYSTEMATIC REVIEW AND META-ANALYSIS.Arquivos de gastroenterologia · 2026Pooled it
- Quality indicators for colonoscopy.Gastrointestinal endoscopy · 2024Guideline
- Robotic surgery in emergency setting: 2021 WSES position paper.World journal of emergency surgery : WJES · 2022Pooled it
- Anorectal emergencies: WSES-AAST guidelines.World journal of emergency surgery : WJES · 2021Pooled it
- 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.World journal of emergency surgery : WJES · 2021Guideline
- Management of colonoscopic perforation: a systematic review and treatment algorithm.Surgical endoscopy · 2019Pooled it
- Iatrogenic perforation of a sigmoid diverticulum following diagnostic colonoscopy.International journal of surgery case reports · 2026Article
- Proximal Peril From a Distal Malignancy: Impending Colonic Perforation in Obstructing Sigmoid Adenocarcinoma.Cureus · 2026Article
- Early Risk Stratification and Mortality Prediction in Gastrointestinal Perforation: A Retrospective Cohort Study for Personalized Surgical Decision Making.Journal of personalized medicine · 2026Article
- Pneumopericardium and multicompartmental air dissemination after colorectal endoscopic resection managed conservatively: a case report.Frontiers in medicine · 2026Article
- Iatrogenic colon perforation: endoscopic management or surgery.Clinical endoscopy · 2026Review
- Laparoscopic Treatment of Iatrogenic Serosal Lacerations during Colonoscopy: A Case Report of a Rare Complication.GE Portuguese journal of gastroenterology · 2025Article
- Colorectal perforation following anorectal manometry in a patient with anal stenosis post rectal prolapse repair: a rare complication.Journal of surgical case reports · 2025Article
- Conservative Management of an Enterocutaneous Fistula Following Sigmoid Mesenteric Cyst Excision: A Case Report.Cureus · 2025Article
- Article
- Evaluation of Routine Flexible Sigmoidoscopy After CT-Confirmed Acute Diverticulitis: A Retrospective Study.Cureus · 2025Article
- Delayed Perforation after Colorectal Cold Snare Polypectomy with Simultaneously Performed Endoscopic Submucosal Dissection: A Case Report and Literature Review.JMA journal · 2025Article
- Exploring colorectal cancer patients' diagnostic pathways and general practitioners' assessment of the diagnostic processes: a Danish survey study.Scandinavian journal of primary health care · 2025Article
- Combination of radiomic and clinical characteristics to predict mortality in patients with colorectal perforation.International journal of colorectal disease · 2025Article
- Summary of the current guidelines for managing iatrogenic colorectal perforations and the evolving role of endoluminal vacuum therapy.World journal of clinical cases · 2025Article
Corrections and comments
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Authors and funding
51 authors at 20 institutions in 15 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Iatrogenic colonoscopy perforation (ICP) is a severe complication that can occur during both diagnostic and therapeutic procedures. Although 45-60% of ICPs are diagnosed by the endoscopist while performing the colonoscopy, many ICPs are not immediately recognized but are instead suspected on the basis of clinical signs and symptoms that occur after the endoscopic procedure. There are three main therapeutic options for ICPs: endoscopic repair, conservative therapy, and surgery. The therapeutic approach must vary based on the setting of the diagnosis (intra- or post-colonoscopy), the type of ICP, the characteristics and general status of the patient, the operator's level of experience, and surgical device availability. Although ICPs have been the focus of numerous publications, no guidelines have been created to standardize the management of ICPs. The aim of this article is to present the World Society of Emergency Surgery (WSES) guidelines for the management of ICP, which are intended to be used as a tool to promote global standards of care in case of ICP. These guidelines are not meant to substitute providers' clinical judgment for individual patients, and they may need to be modified based on the medical team's level of experience and the availability of local resources.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.