Perforation of the Colon During Colonoscopy

Abstract

Perforation of the colon during colonoscopy for diagnostic or therapeutic purposes is an important but not a frequent complication. Bibliographic controversies exist upon the type of treatment either conservative or surgical. In the late years reported cases favorise a trial for conservative treatment under optimal clinical conditions. We report our late experience with 3 cases of iatrogenic colonic perforation treated laparoscopically. Direct visualisation of the local status, the possibility of simple colonic oversew, abdominal toilette and drainage are the advantages of the method on which it should be added the psychological comfort for the surgeon and his gastroenterologist.

An over-the-scope clip (OTSC) system for closure of iatrogenic colon perforations: results of an experimental survival study in pigs

“…The potential advantages of the OTSC system lie in its simple and effective application, and in its particular geometric shape which supports the closure of perforations. The OTSC system has therefore been found, in experimental use, to be an alternative to laparoscopic surgery for the treatment of colon perforation [13,14]. Other groups have also recently shown the feasibility of secure perforation closure with clips in an ex− perimental model [15].…”

Endoscopic repair of a large colonoscopic perforation with clips

“…Surgery is the standard therapy for endoscopic perforations of the colon, but it has a negative psychological and physical impact on a patient referred for a diagnostic test [6][7][8][9][10][11][12]. Selected asymptomatic patients can be managed without surgery [13,14].…”

Iatrogene Kolonperforation

“…So finden sich in der Literatur zunehmend Kasuistiken über laparoskopisch assistierte Eingriffe, Wedge-Resektionen und laparoskopische Übernä-hungen [1,2,7,10,14,15,16,20,21,22].…”