Aras Abbas, Oran Ebru, Seyit Hakan, Karabulut Mehmet, Gök İlhan, Aliş Halil
*Medical Faculty, Department of General Surgery, School of Medicine, Yuzuncu Yil University, Van †Department of General Surgery, Bakirköy Dr. Sadi Konuk Research and Teaching Hospital, Istanbul ‡Department of General Surgery, Göksun State Hospital, Kahramanmaraş, Turkey.
Surg Laparosc Endosc Percutan Tech. 2016 Feb;26(1):44-8. doi: 10.1097/SLE.0000000000000220.
The aim of this study was to describe our experience in patients treated with the diagnosis of colonoscopic perforation. A retrospective institutional computer-based search of the patients treated with the diagnosis of colonoscopic perforation between July 2009 and May 2014 was undertaken. Our study included 16 patients. In 9 (56%) patients, perforations occurred during the diagnostic colonoscopy. Snare polypectomy was the causative factor in 5 patients associated with therapeutic colonoscopy. The perforation was significantly higher in patients who underwent therapeutic colonoscopy than those had diagnostic colonoscopy (P<0.007). The sigmoid colon was the most common perforation site (62.5%). Twelve patients (75%) were treated by surgically, 3 (19%) patients by conservatively, and 1 (6%) by endoscopic clipping. Early recognition of the perforation is critical. Therefore, a high index of suspicion is essential for the prompt and accurate diagnosis.
本研究的目的是描述我们在诊断为结肠镜穿孔患者中的治疗经验。对2009年7月至2014年5月间诊断为结肠镜穿孔的患者进行了基于机构计算机的回顾性检索。我们的研究纳入了16例患者。9例（56%）患者在诊断性结肠镜检查期间发生穿孔。圈套器息肉切除术是5例与治疗性结肠镜检查相关患者的致病因素。接受治疗性结肠镜检查的患者穿孔发生率显著高于接受诊断性结肠镜检查的患者（P<0.007）。乙状结肠是最常见的穿孔部位（62.5%）。12例患者（75%）接受了手术治疗，3例（19%）患者接受了保守治疗，1例（6%）患者接受了内镜夹闭治疗。早期识别穿孔至关重要。因此，高度的怀疑指数对于及时准确的诊断至关重要。
