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Sun Mi Jin 2 Articles
Optimal Methods for the Management of Iatrogenic Colonoscopic Perforation
Dae Kyu Shin, Sun Young Shin, Chi Young Park, Sun Mi Jin, Yang Hyun Cho, Won Hee Kim, Chang-Il Kwon, Kwang Hyun Ko, Ki Baik Hahm, Pil Won Park, Jong Woo Kim, Sung Pyo Hong
Clin Endosc 2016;49(3):282-288.   Published online February 18, 2016
AbstractAbstract PDFPubReaderePub
/Aims: Colonoscopic perforations have been managed with exploratory laparotomy, and have resulted in some morbidity and mortality. Recently, laparoscopic surgery is commonly performed for this purpose. The aim of this study was to compare the outcomes of several management strategies for iatrogenic colonoscopic perforations.
We retrospectively reviewed the medical records of patients who had been treated for colonoscopic perforation between January 2004 and April 2013 at CHA Bundang Medical Center in Korea.
A total of 41 patients with colonoscopic perforation were enrolled. Twenty patients underwent conservative management with a success rate of 90%. Surgical management was performed in 23 patients including two patients who were converted to surgical management after the failure of the initial conservative management. Among 14 patients who underwent surgery at 8 hours after the perforation, there was no considerable difference in adverse outcomes between the laparotomy group and the laparoscopic surgery group. The medical costs and claim rate were 1.45 and 1.87 times greater in the exploratory laparotomy group, respectively.
Conservative management of colonoscopic perforation could be an option for patients without overt symptoms of peritonitis or with a small defect size. If surgical management is required, laparoscopic surgery may be considered as the initial procedure even with a delayed diagnosis.


Citations to this article as recorded by  
  • Surgical repair of endoscopy-induced colonic perforations: a case-matched study of short-term morbidity and mortality
    Fady DANIEL, Suha JABAK, Mohammad HOSNI, Hani TAMIM, Aurelie MAILHAC, Ayman ALRAZIM, Noura AL-ALI, Robert CHURCH, Mohammad KHALIFE, Shafik SIDANI, Faek JAMALI
    Minerva Surgery.2024;[Epub]     CrossRef
  • Laparoscopic versus open surgery for colonoscopic perforation: A systematic review and meta-analysis
    Wu Zhong, Chuanyuan Liu, Chuanfa Fang, Lei Zhang, Xianping He, Weiquan Zhu, Xueyun Guan
    Medicine.2023; 102(24): e34057.     CrossRef
  • Elastography for Pediatric Chronic Liver Disease
    Giovanna Ferraioli, Richard G. Barr, Jonathan R. Dillman
    Journal of Ultrasound in Medicine.2021; 40(5): 909.     CrossRef
  • Clinical outcomes of laparoscopic versus open surgery for repairing colonoscopic perforation: a multicenter study
    Jae Seok Lee, Jeong Yeon Kim, Byung Mo Kang, Sang Nam Yoon, Jun Ho Park, Bo Young Oh, Jong Wan Kim
    Surgery Today.2021; 51(2): 285.     CrossRef
  • The analysis of outcomes of surgical management for colonoscopic perforations: A 16-years experiences at a single institution
    Dae Ro Lim, Jung Kul Kuk, Taehyung Kim, Eung Jin Shin
    Asian Journal of Surgery.2020; 43(5): 577.     CrossRef
  • Multicenter retrospective evaluation of ileocecocolic perforations associated with diagnostic lower gastrointestinal endoscopy in dogs and cats
    Vanessa L. Woolhead, Jacqueline C. Whittemore, Sarah A. Stewart
    Journal of Veterinary Internal Medicine.2020; 34(2): 684.     CrossRef
  • Endoscopic Management of the Ascending Colon Perforation Secondary to a Rare-Earth Magnets Ingestion in a Pediatric Patient
    Sandra Mabel Camacho-Gomez, James Meredith Noel, Robert Adam Noel
    ACG Case Reports Journal.2020; 7(8): e00436.     CrossRef
  • Pseudo‐obstruction But a Real Perforation

    AORN Journal.2019; 109(1): 142.     CrossRef
  • Treatment of colonoscopic perforation: outcomes from a major single tertiary institution
    Carolyn R. Chew, Justin M. C. Yeung, Ian G. Faragher
    ANZ Journal of Surgery.2019; 89(5): 546.     CrossRef
  • Management of colonoscopic perforations: A systematic review
    Alexander T. Hawkins, Kenneth W. Sharp, Molly M. Ford, Roberta L. Muldoon, M. Benjamin Hopkins, Timothy M. Geiger
    The American Journal of Surgery.2018; 215(4): 712.     CrossRef
  • 2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
    Nicola de’Angelis, Salomone Di Saverio, Osvaldo Chiara, Massimo Sartelli, Aleix Martínez-Pérez, Franca Patrizi, Dieter G. Weber, Luca Ansaloni, Walter Biffl, Offir Ben-Ishay, Miklosh Bala, Francesco Brunetti, Federica Gaiani, Solafah Abdalla, Aurelien Ami
    World Journal of Emergency Surgery.2018;[Epub]     CrossRef
  • Management Outcomes of Colonoscopic Perforations Are Affected by the General Condition of the Patients
    Jae Ho Park, Kyung Jong Kim
    Annals of Coloproctology.2018; 34(1): 16.     CrossRef
  • Abdominal Sepsis: An Update
    Mircea Gabriel Mureșan, Ioan Alexandru Balmoș, Iudita Badea, Ario Santini
    The Journal of Critical Care Medicine.2018; 4(4): 120.     CrossRef
  • Laparoscopic vs. open surgery for the treatment of iatrogenic colonoscopic perforations: a systematic review and meta-analysis
    Aleix Martínez-Pérez, Nicola de’Angelis, Francesco Brunetti, Yann Le Baleur, Carmen Payá-Llorente, Riccardo Memeo, Federica Gaiani, Marco Manfredi, Paschalis Gavriilidis, Giorgio Nervi, Federico Coccolini, Aurelien Amiot, Iradj Sobhani, Fausto Catena, Gia
    World Journal of Emergency Surgery.2017;[Epub]     CrossRef
  • Urinary Bladder Injury During Colonoscopy Without Colon Perforation
    Jung Wook Suh, Jun Won Min, Hwan Namgung, Dong-Guk Park
    Annals of Coloproctology.2017; 33(3): 112.     CrossRef
  • The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections
    Massimo Sartelli, Alain Chichom-Mefire, Francesco M. Labricciosa, Timothy Hardcastle, Fikri M. Abu-Zidan, Abdulrashid K. Adesunkanmi, Luca Ansaloni, Miklosh Bala, Zsolt J. Balogh, Marcelo A. Beltrán, Offir Ben-Ishay, Walter L. Biffl, Arianna Birindelli, M
    World Journal of Emergency Surgery.2017;[Epub]     CrossRef
  • How Should We Manage Iatrogenic Perforation Caused by Colonoscopy?
    Eun Sun Kim
    Clinical Endoscopy.2016; 49(3): 214.     CrossRef
  • 8,297 View
  • 151 Download
  • 20 Web of Science
  • 17 Crossref
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Endoscopic Resection of Giant Colonic Lipoma: Case Series with Partial Resection
Gun Woo Kim, Chang-Il Kwon, Sang Hee Song, Sun Mi Jin, Kyung Ho Kim, Jie Hye Moon, Sung Pyo Hong, Pil Won Park
Clin Endosc 2013;46(5):586-590.   Published online September 30, 2013
AbstractAbstract PDFPubReaderePub

Colonic lipoma, a very rare form of benign tumor, is typically detected incidentally in asymptomatic patients. The size of lipoma is reported variously from 2 mm to 30 cm, with higher likelihood of symptoms as the size is bigger. Cases with symptom or bigger lesion are surgically resected in principle; endoscopic resection, which has developed recently with groundbreaking advance of endoscopic excision technology, is being used more often but with rare report of success due to high chance of complications such as bowel perforation or bleeding. The authors report here, together with a literature review, our experiences of three cases of giant colonic lipomas showing complete remission after aggressive unroofing technique, at certain intervals, using snare catheter at the origin of the lipoma so that the remaining lipoma could be drained out of the exposed surface spontaneously, in order to reduce complications.


Citations to this article as recorded by  
  • Colonic intussusception from pedunculated colonic lipoma at hepatic flexure: A case report and review of current literature
    Richard Edmund Hogan, Ben Michael Murray, Michael Flanagan, Shane Brennan, Conor Shortt, Dara Kavanagh
    Surgery Case Reports.2024; 1: 100008.     CrossRef
  • A giant colonic lipoma
    Tara M. Connelly, Cillian Clancy, Shaomin Hu, Joshua Sommovilla
    ANZ Journal of Surgery.2023; 93(1-2): 428.     CrossRef
  • Obscure gastrointestinal bleeding from a large jejunal lipoma treated using an endoscopic unroofing technique with double balloon enteroscopy: a case study
    Reo Kobayashi, Ken Inoue, Ryohei Hirose, Toshifumi Doi, Akihito Harusato, Osamu Dohi, Naohisa Yoshida, Kazuhiko Uchiyama, Takeshi Ishikawa, Tomohisa Takagi, Hiroaki Yasuda, Hideyuki Konishi, Yukiko Morinaga, Yoshito Itoh
    Clinical Journal of Gastroenterology.2023; 16(1): 32.     CrossRef
  • Endoscopic debulking of a large colonic lipoma causing recurrent intussusception using endoscopic mucosotomy technique
    Jenson Phung, Morgan Freeman, Mohammad Bilal
    Endoscopy.2023; 55(S 01): E817.     CrossRef
  • Large colonic lipoma with a laterally spreading tumor treated by endoscopic submucosal dissection: A case report
    Jun Yong Bae, Hun Kyu Kim, Yee Jin Kim, Se Woong Kim, Youngeun Lee, Chang Beom Ryu, Moon Sung Lee
    World Journal of Clinical Cases.2023; 11(26): 6194.     CrossRef
  • Observation of the drainage process of the residual lipoma after endoscopic unroofing technique during colonoscopic evaluation of post-procedural hematochezia
    Yi-Ling Ko, Hiroki Matsuoka, Ryohei Nomaru, So Imakiire, Hideto Sakisaka, Satoshi Matsuoka, Nobuaki Kuno, Koichi Abe, Sadahiro Funakoshi, Yusuke Ishida, Hideki Ishibashi, Kaori Koga, Tetsuhiro Saito, Morishige Takeshita, Fumihito Hirai
    Clinical Journal of Gastroenterology.2022; 15(2): 407.     CrossRef
  • Spontaneous expulsion of a duodenal lipoma after endoscopic biopsy: A case report
    Zhi-Hao Chen, Li-Hong Lv, Wen-Sheng Pan, Yi-Miao Zhu
    World Journal of Gastroenterology.2022; 28(34): 5086.     CrossRef
  • Pedunculated sigmoid lipoma causing colo-colonic intussusception
    Kenneth Ford, Samantha Lopez, Gaurav Synghal, Yomi Fayiga, Brittany Carter, Anuj Kandel, Kenneth Ford
    Baylor University Medical Center Proceedings.2021; 34(3): 371.     CrossRef
  • Colonoscopic resection of giant colonic lipoma causing subacute large bowel obstruction
    Amy Donovan, Sandun Abeyasundara, Hajir Nabi
    ANZ Journal of Surgery.2020;[Epub]     CrossRef
    U. B. Urmonov, S. G. Afanasyev, A. Yu. Dobrodeev, A. V. Avgustinovich, M. Yu. Volkov, N. V. Vasiliev, E. N. Samtsov
    Grekov's Bulletin of Surgery.2020; 178(6): 63.     CrossRef
  • Endoscopic treatment of large symptomatic colon lipomas: A systematic review of efficacy and safety
    Michiel Bronswijk, Anne‐Marie Vandenbroucke, Peter Bossuyt
    United European Gastroenterology Journal.2020; 8(10): 1147.     CrossRef
  • Endoscopic resection of giant colon lipomas: get rid of the roof!
    Michiel Bronswijk
    VideoGIE.2019; 4(7): 341.     CrossRef
  • Submucosal lipoma of the sigmoid colon as a rare cause of mucoid diarrhea: a case report
    S. U. B. Dassanayake, N. P. Dinamithra, N. M. M. Nawarathne
    Journal of Medical Case Reports.2016;[Epub]     CrossRef
  • Endoscopic resection of giant GI lipoma: a case series
    Diane Lorenzo, Jean Michel Gonzalez, Alban Benezech, Marc Barthet
    VideoGIE.2016; 1(2): 43.     CrossRef
  • Two Patients with Large Colonic Lipomas for which Endoscopic Unroofing was Ineffective
    Yuichi Tomiki, Koichiro Niwa, Kiichi Nagayasu, Yu Okazawa, Shingo Ito, Ryosuke Ichikawa, Hisashi Ro, Shun Ishiyama, Kiichi Sugimoto, Kazuhiro Sakamoto
    Case Reports in Gastroenterology.2016; 10(3): 538.     CrossRef
  • Colonoscopy‐assisted laparoscopic resection of an obstructing ‘giant’ lipoma of the transverse colon
    B. Asantha De Silva, Raeed Deen, Wasantha K. Wijenayake
    ANZ Journal of Surgery.2015; 85(10): 785.     CrossRef
  • Unroofing Technique as an Option for the Endoscopic Treatment of Giant Gastrointestinal Lipomas
    Marcela Kopáčová, Stanislav Rejchrt, Jan Bureš
    Acta Medica (Hradec Kralove, Czech Republic).2015; 58(4): 115.     CrossRef
  • Large “pedunculated” colonic lipoma: A word of caution while cutting into fat!
    Syed Adnan Mohiuddin, Saad Al Kaabi, Ragesh Babu Thandassery, Khalid Mohsin Al Ejji, Nazeeh Al Dweik, Emran Amir, Manik Sharma
    Indian Journal of Gastroenterology.2014; 33(6): 571.     CrossRef
  • 7,573 View
  • 95 Download
  • 18 Crossref
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