Colonic Perforation after Colonoscopy and Endoscopic Management
Keywords:
colonoscopic perforation, colonoscopy, endoscopic clippingAbstract
Colonic perforation after colonoscopy is uncommon complication, but it has various degree of severities, for example colitis, bleeding, sepsis and death. The incident of colonic perforation after colonoscopy in large study is 0.3% or less. Risk factors for perforation are poor bowel preparation, endoscopic biopsy, colonic dilation, stenting, endoscopist experience. A case report of middle aged male presented with suspected acute diverticulitis and fecal occult blood positive. After treatment with antibiotics and symptom subsides, he was scheduled for colonoscopy. Endoscopic findings were several polyps those had polypectomy to rule out colonic cancer. He had perforation of the colon at biopsy site that managed by clipping at scene and aspiration of pneumoperitoneum. The outcome was good recovery.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
