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RESEARCH PRODUCT
2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Carlos MesquitaRao R. IvaturyRichard P. G. Ten BroekJuan Carlos PuyanaOsvaldo ChiaraMaria Clotilde CarraEdoardo PicettiFederica GaianiAlain Chichom-mefireGiorgio BianchiIradj SobhaniYann Le BaleurRonald V. MaierBelinda De SimoneMassimo SartelliHany BahouthSalomone Di SaverioMiklosh BalaFederico CoccoliniMichele PisanoMohammed SiddiquiFernando MachadoRamiro Manzano-nunezAurelien AmiotFranca PatriziFrancesco BrunettiAndrew B. PeitzmanGian Luigi De’angelisSolafah AbdallaGustavo Pereira FragaAleix Martínez-pérezYoram KlugerBruno M. PereiraFausto CatenaJuan Carlos Salamea MolinaNicola De’angelisMassimiliano MutignaniAndrew W. KirkpatrickJeffry L. KashukLuca AnsaloniDaniel CasanovaPietro GenovaOffir Ben-ishayWalter L. BifflRiccardo MemeoLuigi ZorcoloCarlos A. OrdoñezDieter G. WeberSandro RizoliGustavo M. MachainRaul Coimbrasubject
MaleIatrogenic DiseaseColonoscopyReviewIatrogenic colonoscopy perforation0302 clinical medicine80 and overOpen abdomenAged 80 and overintegumentary systemmedicine.diagnostic_testmusculoskeletal neural and ocular physiologylcsh:Medical emergencies. Critical care. Intensive care. First aidDisease ManagementIatrogenic colonoscopy perforation Colonoscopy Gastrointestinal endoscopy Emergency surgery Laparoscopy Antibiotic therapy Intra-abdominal infection Open abdomenColonoscopyMiddle Agedhumanities030220 oncology & carcinogenesisEmergency surgeryEmergency MedicineFemale030211 gastroenterology & hepatologymedicine.medical_specialtyColonPerforation (oil well)lcsh:SurgeryGuidelines as TopicSigns and symptomsGeneral status03 medical and health sciencesTherapeutic approachIntra-abdominal infectionEmergency surgerymedicineHumansGastrointestinal endoscopyIntensive care medicineAgedbusiness.industrylcsh:RD1-811lcsh:RC86-88.9Antibiotic therapyEndoscopic Procedurenervous system diseasesSettore MED/18 - Chirurgia GeneraleIntestinal PerforationAntibiotic therapy; Colonoscopy; Emergency surgery; Gastrointestinal endoscopy; Iatrogenic colonoscopy perforation; Intra-abdominal infection; Laparoscopy; Open abdomen; Aged; Aged 80 and over; Colon; Colonoscopy; Disease Management; Female; Humans; Intestinal Perforation; Male; Middle Aged; Guidelines as Topic; Iatrogenic DiseaseAntibiotic therapy; Colonoscopy; Emergency surgery; Gastrointestinal endoscopy; Iatrogenic colonoscopy perforation; Intra-abdominal infection; Laparoscopy; Open abdomen;LaparoscopySurgerySurgical devicebusinessdescription
Abstract Iatrogenic colonoscopy perforation (ICP) is a severe complication that can occur during both diagnostic and therapeutic procedures. Although 45–60% of ICPs are diagnosed by the endoscopist while performing the colonoscopy, many ICPs are not immediately recognized but are instead suspected on the basis of clinical signs and symptoms that occur after the endoscopic procedure. There are three main therapeutic options for ICPs: endoscopic repair, conservative therapy, and surgery. The therapeutic approach must vary based on the setting of the diagnosis (intra- or post-colonoscopy), the type of ICP, the characteristics and general status of the patient, the operator’s level of experience, and surgical device availability. Although ICPs have been the focus of numerous publications, no guidelines have been created to standardize the management of ICPs. The aim of this article is to present the World Society of Emergency Surgery (WSES) guidelines for the management of ICP, which are intended to be used as a tool to promote global standards of care in case of ICP. These guidelines are not meant to substitute providers’ clinical judgment for individual patients, and they may need to be modified based on the medical team’s level of experience and the availability of local resources.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-09-27 |