Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia

Background: Colon perforation is an uncommon but feared complication of colonoscopy. The treatment is usually surgical but occasionally it does not require an operation. Aim: To report our experience in the diagnosis and management of colon perforation after colonoscopy. Material and methods: Retros...

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Autores principales:	García,Eduardo, López-Köstner,Francisco, Rollan,Antonio, Muñoz,Rodrigo, Contardo,María José, Bellolio,Felipe, García,Ximena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Colonoscopy Colostomy Intestinal perforation
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000300005
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spelling	oai:scielo:S0034-988720080003000052008-06-03Diagnóstico y tratamiento de la perforación de colon durante la colonoscopiaGarcía,EduardoLópez-Köstner,FranciscoRollan,AntonioMuñoz,RodrigoContardo,María JoséBellolio,FelipeGarcía,Ximena Colonoscopy Colostomy Intestinal perforation Background: Colon perforation is an uncommon but feared complication of colonoscopy. The treatment is usually surgical but occasionally it does not require an operation. Aim: To report our experience in the diagnosis and management of colon perforation after colonoscopy. Material and methods: Retrospective review of the database of 11,720 colonoscopies. The medical records of those patients that had a perforation were reviewed. Results: Twelve perforations in patients aged 26 to 92 years (six women), were identified with a global perforation rate of 0.1%. Five occurred during diagnostic and seven during therapeutic procedures. All perforations were confirmed by a plain X ray or CT scan of the abdomen. Four patients, without signs of initial diffuse peritoneal irritation, were medically treated. One of these, finally required surgery. Among operated patients, a primary suture was done in five, a primary excision without colostomy in three and a Hartmann procedure due to a severe peritoneal contamination in one. No patient died. Conclusions: There is a higher risk of colon perforation during therapeutic colonoscopies. Selected cases may be safely treated without surgeryinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.3 20082008-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000300005es10.4067/S0034-98872008000300005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Colonoscopy Colostomy Intestinal perforation
spellingShingle	Colonoscopy Colostomy Intestinal perforation García,Eduardo López-Köstner,Francisco Rollan,Antonio Muñoz,Rodrigo Contardo,María José Bellolio,Felipe García,Ximena Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
description	Background: Colon perforation is an uncommon but feared complication of colonoscopy. The treatment is usually surgical but occasionally it does not require an operation. Aim: To report our experience in the diagnosis and management of colon perforation after colonoscopy. Material and methods: Retrospective review of the database of 11,720 colonoscopies. The medical records of those patients that had a perforation were reviewed. Results: Twelve perforations in patients aged 26 to 92 years (six women), were identified with a global perforation rate of 0.1%. Five occurred during diagnostic and seven during therapeutic procedures. All perforations were confirmed by a plain X ray or CT scan of the abdomen. Four patients, without signs of initial diffuse peritoneal irritation, were medically treated. One of these, finally required surgery. Among operated patients, a primary suture was done in five, a primary excision without colostomy in three and a Hartmann procedure due to a severe peritoneal contamination in one. No patient died. Conclusions: There is a higher risk of colon perforation during therapeutic colonoscopies. Selected cases may be safely treated without surgery
author	García,Eduardo López-Köstner,Francisco Rollan,Antonio Muñoz,Rodrigo Contardo,María José Bellolio,Felipe García,Ximena
author_facet	García,Eduardo López-Köstner,Francisco Rollan,Antonio Muñoz,Rodrigo Contardo,María José Bellolio,Felipe García,Ximena
author_sort	García,Eduardo
title	Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
title_short	Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
title_full	Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
title_fullStr	Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
title_full_unstemmed	Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
title_sort	diagnóstico y tratamiento de la perforación de colon durante la colonoscopia
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000300005
work_keys_str_mv	AT garciaeduardo diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia AT lopezkostnerfrancisco diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia AT rollanantonio diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia AT munozrodrigo diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia AT contardomariajose diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia AT belloliofelipe diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia AT garciaximena diagnosticoytratamientodelaperforaciondecolondurantelacolonoscopia
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Diagnóstico y tratamiento de la perforación de colon durante la colonoscopia

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