Jehangir Asad, Bennett Kyle M, Rettew Andrew C, Fadahunsi Opeyemi, Shaikh Bilal, Donato Anthony
Department of Internal Medicine, Reading Health System, West Reading, PA, USA;
Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
J Community Hosp Intern Med Perspect. 2015 Oct 19;5(5):29147. doi: 10.3402/jchimp.v5.29147. eCollection 2015.
While generally safe, the most feared complication of colonoscopy is perforation of the colon, occurring in nearly 1 in 1,000 procedures, and is more common when polypectomy is performed and electrocautery is used. Less commonly known is the post-polypectomy electrocoagulation syndrome, a transmural burn of the colon which mimics the signs and symptoms of perforation as well as the time course, but follows a benign course and can be treated conservatively.
虽然结肠镜检查总体上是安全的,但最令人担忧的并发症是结肠穿孔,在近千分之一的操作中会发生,并且在进行息肉切除和使用电灼时更常见。鲜为人知的是息肉切除术后电凝综合征,这是一种结肠透壁烧伤,其体征和症状以及病程与穿孔相似,但病程呈良性,可保守治疗。