[结肠镜检查并发结肠穿孔。基于16年间连续观察的15例病例]

[Colonic perforations complicating colonoscopy. Apropos of 15 consecutive cases observed over 16 years].

作者信息

Ettersperger L, Zeitoun P, Thiefin G

机构信息

Service d'Hépato-Gastroentérologie, Hôpital Robert-Debré, Reims.

出版信息

Gastroenterol Clin Biol. 1995 Dec;19(12):1018-22.

PMID:8729414

Abstract

OBJECTIVES

Our study was undertaken to better assess the circumstances of perforation during colonoscopy.

METHODS

All cases observed in our department between 1978 and 1994 were computer recorded. During this period, 5,822 colonoscopies were performed, including 872 with at least one polypectomy.

RESULTS

All perforations occurred during colonoscopies performed under anaesthesia (n = 3,373 vs 2,449 without anaesthesia). There were a total of 15 observations of colonic perforations, 1 perforation in 388 colonoscopies. Ten perforations occurred during diagnostic colonoscopies (0.20%), 5 after polypectomy (0.57%). Eight of 10 perforations complicating diagnostic colonoscopies occurred below an impassable stricture. Two patients died from this complication (0.03% of all colonoscopies).

CONCLUSIONS

Our study suggests that endoscopic exploration of colonic stricture, in addition to anaesthesia, increases the risk of colonic perforation.

摘要

目的

我们开展这项研究是为了更好地评估结肠镜检查期间穿孔的情况。

方法

对1978年至1994年间在我们科室观察到的所有病例进行计算机记录。在此期间，共进行了5822例结肠镜检查，其中872例至少进行了一次息肉切除术。

结果

所有穿孔均发生在麻醉下进行的结肠镜检查期间（麻醉下3373例，未麻醉下2449例）。共观察到15例结肠穿孔，每388例结肠镜检查中有1例穿孔。10例穿孔发生在诊断性结肠镜检查期间（0.20%），5例发生在息肉切除术后（0.57%）。诊断性结肠镜检查并发的10例穿孔中有8例发生在无法通过的狭窄部位以下。两名患者死于该并发症（占所有结肠镜检查的0.03%）。