Colonoscopic perforation: Risk factors, identification, management

This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Melissa P Lapinska during the When Bad Things Happen to Good People – Endoscopy: Being FLEXible on April 14 2018

Keyword(s): abdomen, abdominal pain, abdominal surgery, abscess, adhesions, age, air insufflation, algorithm, biopsy, bowel, bowel prep, cecum, clips, colonic defect, colonoscopic perforation, complications, conservative management, contamination, CT scan, death, delayed presentation, diagnosis, diagnostic, diffuse peritonitis, dilation, diverticular disease, diverticulosis, dysplatic pathology, EMR, endoscope, endoscopic clipping, endoscopic mucosal resection, endoscopic submucosal dissection, endoscopic treatment, endoscopists, ERCP, ESD, evidence based, failure, false lumen, fellows, female, fever, flexible endoscopy, free air, free fluid, full thickness, gastrointestinal, GI, identification, indications, infection, laparoscopy, laparotomy, leak, leukocytosis, malignancy, management, medicine, microperforation, minimally invasive approach, morbidity, mortality, obstruction, ostomy, pedunculated polyp, perforated colon, physical exam, plain film, polypectomy, population, prevention, primary suture repair, rectosigmoid, residents, right colon, risk factors, scarring, screening colonoscopy, segmental resection, selection bias, sessile polyp, sigmoid colon, stoma formation, technique, thermal injury, training, trauma, treatment, upper endoscopy, WBC, white blood cell, x-ray

Risk factors for perforation–1:01 Endoscopy 2009

Arch Surg 2009

GIE 2009

Gastroenterology 2008

Am J Gastroenterol 2000

Mechanism of perforation–5:32 J Gastrointest Surg 2008

Perforation location–6:12 Arch Surg 2008

Diagnosis of perforation–6:29 J Comput Assist Tomogr 1992

Time to diagnosis–7:11

Perforation severity–7:38 GIE 2011

Diagnostic algorithm–8:31

Treatment options–9:19