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Ham, Bae, and Yang: Diagnosis and Management of Colonoscopy-related Perforation
Brief Summary of Practice Guideline

The Korean Journal of Gastroenterology 2019; 73(6): 327-331.

Published online: 27 June 2019

DOI: https://doi.org/10.4166/kjg.2019.73.6.327

Diagnosis and Management of Colonoscopy-related Perforation

Nam Seok Ham, Jung Ho Bae1, Dong-Hoon Yang

Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

1Department of Gastroenterology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea.

Correspondence to: Dong-Hoon Yang, Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. Tel: +82-2-3010-0809, Fax: +82-2-3010-6517, dhyang@amc.seoul.kr

Received 20 May 2019       Revised 11 June 2019       Accepted 11 June 2019

Copyright © 2019. Korean Society of Gastroenterology

Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Colonoscopy is one of the most useful procedures for making the diagnosis and treating various colorectal diseases, but this procedure rarely causes serious complications such as perforation. The incidence of colon perforation during colonoscopy is low. However, as the demand for screening and surveillance colonoscopy has gradually increased and colonoscopic polypectomy has become a commoner procedure in daily clinical practice, endoscopists should pay attention to prevent and manage colonoscopy-related perforation. The purpose of this review is to briefly summarize the guidelines from the World Journal of Emergency Surgery for the management of colonoscopy-related perforation.

Keywords: Colonoscopy, Intestinal perforation, Colon

Figures and Tables

Fig. 1

Suggested algorithm for the management of colonoscopy-related perforation. aOpen laparotomy is necessary for treating the following conditions: very delayed surgery with diffuse peritonitis, hemodynamically unstable patients, pervious multiple surgeries and very large defects.14

kjg-73-327-g001
Table 1

Risk Factors of Colonoscopy-related Bowel Perforation

kjg-73-327-i001

Notes

Financial support None.

Conflict of interest None.

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ORCID iDs

Dong-Hoon Yang
https://orcid.org/0000-0001-7756-2704

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