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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(02): 047-052
DOI: 10.4103/jde.JDE_74_17
Review Article
Society of Gastrointestinal Endoscopy of India

Endoscopic Management of Colonoscopy‑related Perforation

Stanley Khoo
Department of Medicine, Faculty of Medicine, Gastroenterology and Hepatology Unit, University of Malaya, Kuala Lumpur, Malaysia
,
Wah-Kheong Chan
Department of Medicine, Faculty of Medicine, Gastroenterology and Hepatology Unit, University of Malaya, Kuala Lumpur, Malaysia
,
Sanjiv Mahadeva
Department of Medicine, Faculty of Medicine, Gastroenterology and Hepatology Unit, University of Malaya, Kuala Lumpur, Malaysia
› Author Affiliations
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Publication History

Publication Date:
24 September 2019 (online)

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ABSTRACT

Colonoscopy‑related perforation is a rare but serious complication. The type of perforation depends on whether it was caused by a diagnostic examination or as a sequelae to a therapeutic procedure. Although traditionally managed by surgery, endoscopic management is increasingly used. This review focuses on the currently available methods of endoscopic management following colonoscopy‑related perforation, together with a brief review of their efficacy. With better development of endoscopic accessories such as through‑the‑scope and over‑the‑scope clips, and increasing experience by endoscopists, it is now recommended that endoscopic management should be the preferred initial treatment modality of colonoscopy‑related perforation.

Keywords

Colonoscopy - endoscopic clipping - endoscopic suturing - iatrogenic - perforation
 

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