Medicine of the Future in America

Endoscopic perforation rates: Colonoscopy (Part 1)

colonic perforationsTen colonic perforations occurred during the 7425 colonoscopies, representing an overall colonoscopic perforation rate of 0.13% (incidence, 1.3/1000; 1/769 procedures). Six colonoscopy-associated perforations occurred during 4470 diagnostic colonoscopies (0.13%) (incidence, 1.3/1000; 1/769 procedures), while four colonoscopy-associated perforations occurred during 2955 therapeutic colonoscopies (0.14%) (incidence, 1.4/1000; 1/714 procedures).

Table 5 demonstrates the characteristics of patients with colonoscopic perforation. The mean age was 60.3±6.2 years with male:female ratio of 4:6. One patient died following the perforation (0.013%) (incidence, 0.13/1000; 1/7692 procedures). Of the 10 colonic perforations, four of 10 (40%) were undergoing a therapeutic colonoscopic procedure (dilation of benign stricture, one patient, hemostasis, one patient, decompression, one patient, polypectomy, one patient). Of the six perforations in patients undergoing diagnostic colonoscopy, five of six (85%) occurred in association with the following comorbid conditions: two occurred in the setting of diverticu-losis, one patient was on hemodialysis, one patient had previous abdominal surgery, and one patient had a combination of diverticulosis, hemodialysis and history of abdominal surgery. All you need to discover how safe and advantageous it can be to purchase prednisone online click here over the internet is visit the pharmacy suggested and enjoy your shopping experience as well as your treatment.

TABLE 5 Characteristics of patients with perforation following colonoscopy

Patient Sex Age(years) Proceduretype Diagnosis Trainee associated with the procedure Previousabdominal

surgery

Renalfailure Adequatepreparation

documented

1 F 74 Diagnostic Diverticuli No No No Not stated
2 M 64 Diagnostic Diverticuli Yes No No Yes
3 M 44 Decompression Ischemia, megacolon No No No Poor
4 F 45 Stricture dilation Colonic stricture No No No Yes
5 M 58 BICAP bleeding ulcer Colonic ulcer No No No Poor
6 F 70 Diagnostic Normal No Appendectomy No Yes
7 F 75 Diagnostic Diverticuli Yes C Cholecystectomy, hysterectomy Hemodialysis Not stated
8 F 61 Diagnostic Severe colitis Yes No Hemodialysis Poor
9 M 70 Diagnostic Normal Yes No No Not stated
10 F 42 Polypectomy Benign neoplasm No No No Not stated

BICAP Bipolar electrocoagulation; F Female; M Male

/spantd

This entry was posted in Endoscopic perforation and tagged Colonoscopy, Complication, Endoscopy, Gastroscopy, Morbidity, Mortality, Perforation.
Copyright © 2012 Medicine of the Future in America www.perfexis.org