계명대학교 의학도서관 Repository

A Comparative Analysis of Treatment Methods for Colonic Perforation During Colonoscopy

Metadata Downloads
Author(s)
김현아정우진박경식조광범황재석
Alternative Author(s)
Kim, Hyun AhChung, Woo JinPark, Kyung SikCho, Kwang BumHwang, Jae Seok
Issued Date
2010
Keyword
Colonoscopic perforation
Abstract
Background/Aims: Successful managmemnt of colonoscopic perforation by nonoperative treatment has been reported but its management remains controversial. We compared operative and nonoperative managements and aimed to assess the prognostic factors and mortality due to
colonoscopic perforations. Methods: A large-scale, multicenter, retrospective analysis was conducted in the five tertiary hospitals in Daegu, Korea.
Results: Thirty-nine cases of colon perforations occurred out of 70,659 colonoscopic procedures
in the five institutions and the overall incidence was 0.06%. Additional five cases were referred
from primary practitioners. They were managed with (n=18) or without (n=16) surgical intervention. There were no statistically significant differences in age, sex, hospital stay and mortality rate between the two groups. Overall three cases of death occurred; one case (5.6%) in the operative group and two (7.7%) in the nonoperative group, but no statistically significant difference in mortality rate was observed (p=1.000). The status of completeness of bowel preparation was important factor for preventing patient mortality (p=0.001).
Conclusion: Colonic perforation during the colonoscopy can be successfully treated with either
operative or nonoperative management in patients with adequate bowel preparation.
Department
Dept. of Internal Medicine (내과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.29(1) : 13-20, 2010
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15487
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2010
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
Authorize & License
  • AuthorizeOpen
Files in This Item:

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.