Abstract

INTRODUCTION

Colonoscopy is the most important method in the screening, diagnosis and treatment of colorectal diseases. In our study, it was aimed to emphasize the importance of early intervention in iatrogenic colon perforation.

METHODS

9,840 colonoscopy procedures performed in our hospital between 2014-2018 were retrospectively reviewed.

RESULTS

After 9,840 colonoscopy, total iatrogenic perforation was observed in 5 patients. In four patients, perforation was noticed during the procedure and immediately after the procedure was performed and repair was performed with laparoscopic stapler. One patient was noticed on the first day after colonoscopy and Hartman procedure was performed.

DISCUSSION AND CONCLUSION

Although colonoscopy is defined as a safe procedure, complications are rarely seen. The most morbid complication after colonoscopy is perforation. The perforation rate in the literature is between 0.005% and 0.63%. In our study, perforation rate was determined as 0,051% in accordance with the literature. Early recognition and intervention of perforation is very important for patient morbidity. In case of early diagnosis, endoscopic repair and laparoscopic primary repair can be performed with lower morbidity. In case of delayed diagnosis, more morbid interventions such as Hartman procedure should be performed because of the contaminated abdomen. Selection of treatment method after iatrogenic perforation; patient characteristics should be based on the location of the perforation, size and time after perforation.