Ten 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
|4||F||45||Stricture dilation||Colonic stricture||No||No||No||Yes|
|5||M||58||BICAP bleeding ulcer||Colonic ulcer||No||No||No||Poor|
|7||F||75||Diagnostic||Diverticuli||Yes C||Cholecystectomy, hysterectomy||Hemodialysis||Not stated|
|10||F||42||Polypectomy||Benign neoplasm||No||No||No||Not stated|
BICAP Bipolar electrocoagulation; F Female; M Male