back to 2012, vol. 18, b. 3
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2012, vol. 18, book 3;
Subject Collection: Medicine
Page: 273 - 275
DOI: 10.5272/jimab.2012183.273
Published online: 02 August 2012

J of IMAB. 2012; 18(3):273-275
Ivailo P. Vazharov.
Department of Gastroenterology, Multiprofile Hospital for Active Treatment – Varna, Military Medical Academy – Sofia, Bulgaria.

Purpose: The purpose of this examination is to evaluate the risk of perforation during endoscopy of upper and lower gastrointestinal tract.
Patients and methods used: 1210 diagnostic gastroduodenoscopies and 412 colonoscopies of hospitalized patients were performed by two experienced endoscopists for the period March  2007 – March 2012 at MHAT Varna, MMA. The endoscopies were performed without premedication and sedation. The patients were examined for complications of the procedure during and after the endoscopy. One of the most serious complications is the perforation of the oesophagus, stomach or the large intestine.
Results:  We had no perforations caused by the examination during the 1210 upper endoscopies performed. We had 2 perforations (0,48%) from the 412 colonoscopies performed, which were treated successfully surgically.
Conclusions: The perforation is a rare but serious complication of the endoscopy of gastrointestinal tract, which can be healed completely.

Key words: gastroduodenoscopy, colonoscopy, perforation.

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Please cite this article as: Vazharov IP. PERFORATION AS A COMPLICATION OF THE DIAGNOSTIC UPPER AND LOWER ENDOSCOPY OF THE GASTROINTESTINAL TRACT. J of IMAB. 2012; 18(3):273-275. doi: 10.5272/jimab.2012183.273

1. Cobb WS, Heniford BT, Sigmon LB, Hasan R, Simms C, Kercher KW,  et al. Colonoscopic perforations: incidence, management, and outcomes. Am Surg. 2004 Sep;70(9):750-7. [PubMed]
2. Lanas A, García-Rodríguez LA, Polo-Tomás M, Ponce M, Alonso-Abreu I, Perez-Aisa MA, et al. Time trends and impact of upper and lower gastrointestinal bleeding and perforation in clinical al. Am J Gastroenterol. 2009 Jul;104(7):1633-41. [PubMed] [CrossRef]
3. Castellví J, Pi F, Sueiras A, Vallet J, Bollo J, Tomas A, et al. Colonoscopic perforation: useful parameters for early diagnosis and conservative treatment. Int J Colorectal Dis. 2011 Sep;26(9): 1183-90. [PubMed] [CrossRef]
4. Panteris V, Haringsma J, Kuipers EJ. Colonoscopy perforation rate, mechanisms and outcome: from diagnostic to therapeutic colonoscopy. Endoscopy. 2009 Nov;41(11):941-51. [PubMed] [CrossRef]
5. Lohsiriwat V, Sujarittanakarn S, Akaraviputh T, Lertakyamanee N, Lohsiriwat D, Kachinthorn U. Colonoscopic perforation: A report from World Gastroenterology Organization endoscopy training center in Thailand. World J Gastroenterol. 2008 Nov 21;14(43):6722-5. [PubMed]
6. Eroglu A, Turkyilmaz A, Aydin Y, Yekeler E, Karaoglanoglu N. Current management of esophageal perforation: 20 years experience. Dis Esophagus. 2009; 22(4):374-80. [PubMed] [CrossRef]
7. Korman LY, Overholt BF, Box T, Winker CK. Perforation during colonoscopy in endoscopic ambulatory surgical centers. Gastrointest Endosc. 2003 Oct;58(4):554-7. [PubMed] [CrossRef]
8. Arora G, Mannalithara A, Singh G, Gerson LB, Triadafilopoulos G. Risk of perforation from a colonoscopy in adults: a large population-based study. Gastrointest Endosc. 2009 Mar;69(3 Pt 2):654-64. [PubMed] [CrossRef]
9. Quine MA, Bell GD, McCloy RF, Matthews HR. Prospective audit of perforation rates following upper gastrointestinal endoscopy in two regions of England. Br J Surg. 1995 Apr;82(4):530-3. [PubMed]
10. Lohsiriwat V, Sujarittanakarn S, Akaraviputh T, Lertakyamanee N, Lohsiriwat D, Kachinthorn U. What are the risk factors of colonoscopic perforation? BMC Gastroenterol. 2009 Sep 24;9:71. [PubMed]
11. American Society for Gastrointestinal Endoscopy; Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Сomplications of upper GI endoscopy. Gastrointestinal Endoscopy. 2002 Jun;55(7): 784-793. [PubMed]
12. Cho SB, Lee WS, Joo YE, Kim HR, Park SW, Park CH, et al. Therapeutic options for iatrogenic colon perforation: feasibility of endoscopic clip closure and predictors of the need for early surgery. Surg Endosc. 2012 Feb;26(2):473-9. [PubMed] [CrossRef]
13. Jafri SM, Monkemuller K, Lukens FJ. Endoscopy in the elderly: a review of the efficacy and safety of colonoscopy, esophagogastroduodenoscopy, and endoscopic retrograde cholangiopancreatography. J Clin Gastroenterol. 2010 Mar;44(3):161-6. [PubMed] [CrossRef]
14. Palmer KR.  Complications of gastrointestinal endoscopy. Gut. 2007 Apr;56(4):456–457. [PubMed]
15. Singhal S, Kar P. Corrosive injuries of esophagus and stomach - issues in management. Trop Gastroenterol. 2006 Jan-Mar;27(1):34-40. [PubMed]
16. Robustelli U, Bellotti R, Scardi F, Fortunato Armellino M, De Masi A, Forner AL, et al.  Management of corrosive injuries of the upper gastrointestinal tract. Our experience in 58 patients. G Chir. 2011 Apr;32(4):188-93. [PubMed]
17. Lüning TH, Keemers-Gels ME, Barendregt WB, Tan AC, Rosman C. Colonoscopic perforations: a review of 30,366 patients. Surg Endosc. 2007 Jun;21(6):994-7. [PubMed] [CrossRef]
18. Araujo SE, Seid VE, Caravatto PP, Dumarco R. Incidence and management of colonoscopic colon perforations: 10 years’ experience. Hepatogastroenterology. 2009 Nov-Dec;56(96):1633-6. [PubMed]
19. Loffeld RJ, Engel A, Dekkers PE. Incidence and causes of colonoscopic perforations: a single-center case series. Endoscopy. 2011 Mar;43(3):240-2. [PubMed] [CrossRef]
20. Makharia GK, Madan K, Garg PK, Tandon RK. Colonoscopic barotrauma treated by conservative management: role of high-flow oxygen inhalation. Endoscopy. 2002 Dec;34(12):1010-3. [PubMed] [CrossRef]
21. Jovanovic I, Zimmermann L, Fry LC, Mönkemüller K. Feasibility of endoscopic closure of an iatrogenic colon perforation occurring during colonoscopy. Gastrointest Endosc. 2011 Mar;73(3):550-5. [PubMed] [CrossRef]
22. Chao TH, Wang HM, Liou TY et al Clinical treatment in colonoscopic perforation: a comparison of surgical and conservative management. Zhonghua-Yi-Xue-Za-Zhi-(Taipei). 1997; 60(1): 36-9. [PubMed]
23. García Martínez MT, Ruano Poblador A, Galán Raposo L, Gay Fernández AM, Casal Núñez JE. Perforation after colonoscopy: our 16-year experience. Rev Esp Enferm Dig. 2007 Oct;99(10):588-92. [PubMed] .

Accepted for publication: 22 April 2012
Issue published online: 02 August 2012

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