COLONOSCOPIC IMPACTION IN LEFT COLON STRICTURES RESULTING IN RIGHT COLON PNEUMATIC PERFORATION

被引：27

作者：

LUCHETTE, FA

DOERR, RJ

KELLY, K

KULAYLAT, M

STEPHAN, RM

HASSETT, JM

机构：

[1] Erie County Medical Center, Department of Surgery, State University of New York at Buffalo, Buffalo, 14215, NY

[2] Buffalo General Hospital, Buffalo, 14203, NY

[3] Buffalo Veterans Administration Medical Center, Buffalo, 14215, NY

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1992年 / 6卷 / 06期

关键词：

COLONOSCOPY; STRICTURES; PERFORATION; COLECTOMY;

D O I：

10.1007/BF02498858

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Colonic perforation during flexible colonoscopy is a rare but recognized complication. We reviewed 4,593 colonoscopies performed from 1984 to 1989. The perforation rate for diagnostic colonoscopy was 0.17% (6/3,538) and for therapeutic colonoscopy it was 2% (21/1,055). Four perforations of the right colon occurred at a site proximal to the level of the impacted colonoscope. The lesions being evaluated were obstructive in nature: two diverticular strictures (sigmoid colon), one ischemic stricture (descending colon), and one annular carcinoma (descending colon). The four perforations occurred in the right colon and manifested as distension with pneumoperitoneum or retroperitoneal emphysema. Operative management included total abdominal colectomy in two patients (ileoproctostomy in one and ileostomy in one) and right colectomy in two. Outcome was favorable in all cases.

引用

页码：273 / 276

页数：4

共 19 条

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