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Korean J Gastrointest Endosc > Volume 42(5); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(5): 289-292.
진단 대장내시경 검사에 의한 대장 천공
김정호ㆍ전은정ㆍ송준호ㆍ이상훈ㆍ정진환ㆍ정대영ㆍ김진일ㆍ박수헌ㆍ김재광
가톨릭대학교 의과대학 내과학교실
Colonoscopic Perforation During a Diagnostic Colonoscopy
Jeong Ho Kim, M.D., Eun Jung Jeon, M.D., Jun Ho Song, M.D., Sang Hun Lee, M.D., Jin Hwan Jung, M.D., Dae Young Cheung, M.D., Jin Il Kim, M.D., Soo Heon Park, M.D. and Jae Kwang Kim, M.D.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract

Background/Aims:
Colonoscopy is a useful method for detecting colorectal disease, but complications are on the rise due to the increasing number of colonoscopies. The aim of this study was to analyze colon perforations following diagnostic colonoscopies.


Methods:
We performed retrospective reviews of all patients with colonoscopic perforations between January 2000 and June 2010.


Results:
Of 25,883 diagnostic colonoscopies performed, seven cases of colon perforations were reported. Among those, five cases had an abdominal operation history; the site of perforation was the sigmoid colon in three cases and the rectum in four cases. The manipulation type was forward viewing in three cases and retroflexion in four cases. The time to diagnosis was immediate in six cases and delayed in one case, and treatment was conservative management in three cases and surgical management in four cases.


Conclusions:
Special attention is required for patients with a previous abdominal operation and retroflexion. Even after perforations occur, favorable outcomes can be obtained by conservative treatment if the patient's condition is stable, the bowel preparation is proper, and there are no signs of peritonitis. (Korean J Gastrointest Endosc 2011;42:289-292)

Key Words: Colon perforation, Colonoscopy, Complication
주요어: 대장 천공, 대장내시경, 합병증
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