Table 3 - available via license: Creative Commons Attribution-NonCommercial 4.0 International
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Source publication
Purpose
The management of a colonoscopic perforation (CP) varies from conservative to surgical. The objective of this study was to evaluate the outcomes between surgical and conservative treatment of patients with a CP.
Methods
From 2003 to 2016, the medical records of patients with CP were retrospectively reviewed. Patients were divided into 2 gr...
Context in source publication
Context 1
... clinical details for complications after surgery are shown in Table 3. High grade complications of more than grade III based on the Clavien-Dindo classification occurred in 11 of the 32 pa- tients (34.4%) who received surgical treatment, including 27 pa- tients who received surgical treatment in an early period and 5 patients who were converted to surgical treatment after the failure of conservative treatment. ...
Similar publications
Background/objective
Colonoscopy-induced colonic perforation often requires surgical management. The aim of this study was to analyze the outcomes after surgery for colonoscopic perforations (CPs).
Methods
This was a retrospective chart review study of 48 patients who underwent surgery for CPs between January 2002 and May 2017. The patients were d...
Citations
... 12 Mortality after surgical correction ranges between 0 and 25%, [13][14][15] with improved patient outcome for cases diagnosed immediately. 16,17 The purpose of our retrospective case series was to characterize ICC perforations occurring secondary to diagnostic lower gastrointestinal endoscopy in dogs and cats. Information was collected regarding the time and method of diagnosis, possible predisposing factors, treatment, and outcome. ...
... In several studies, morbidity rate increased in people when perforations were diagnosed >24 hours after endoscopy, 16,31,34 but other studies found no association between the time to detection and patient prognosis. 14,17 The low number of cases in our series limits the ability to determine risk factors, but morbidity was higher in animals with delayed diagnoses. The overall outcome for animals experiencing iatrogenic endoscopic ICC perforation was very good, with 93% surviving to discharge and 78% surviving beyond 8 months, in comparison with animals with perforation secondary to gastroduodenal endoscopy where 86 and 57% survived to discharge and ≥8 months. ...
Background
Ileoscopy is increasingly performed in dogs and cats with gastrointestinal signs, but iatrogenic ileocecocolic (ICC) perforations have not been described.
Hypothesis/Objectives
To characterize endoscopic ICC perforations in dogs and cats.
Animals
Thirteen dogs and 2 cats.
Methods
This is a retrospective case series. Signalment, presentation, endoscopic equipment, colonic preparation, endoscopist's experience level, ileal intubation technique, method of diagnosis, perforation location, histopathology, management, and outcome data were collected and reviewed.
Results
Six ileal, 5 cecal, and 4 colonic perforations were identified between 2012 and 2019. Dogs weighed 2.4‐26 kg (median, 10.3 kg) and cats 4.6‐5.1 kg (median, 4.9 kg). Endoscopy was performed in dogs presented for vomiting (n = 4), as well as large (n = 5), mixed (n = 4), and small (n = 1) bowel diarrhea. Cats had large bowel diarrhea. Endoscopists included 1 supervised intern, 9 supervised internal medicine residents (2 first year, 6 second year, 1 third year), and 5 internal medicine diplomates. Diagnosis was delayed in 5 dogs, occurring 1‐5 days after endoscopy (median, 3 days); dogs were presented again with inappetence (n = 4), lethargy (n = 4), abdominal pain (n = 3), retching (n = 2), and syncope (n = 1). All animals underwent surgical correction. Histopathology did not identify lesions at the perforation site in any animal. Two dogs required a second surgery; 1 died 12 hours after surgery. Survival to discharge was 93%, with 78% surviving ≥8 months.
Conclusions and Clinical Importance
Iatrogenic endoscopic ICC perforation is not indicative of underlying disease and is associated with a good prognosis. Delayed diagnosis can occur. Therefore, perforation should be considered in the differential diagnosis for animals with clinical deterioration after endoscopy.
