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Agapov M.Y.

City Clinical Oncology Hospital

Aleshina N.V.

City Clinical Oncological Dispensary

Arkhipov V.V.

Scientific Center for Examination of Medical Devices

Vanyan A.V.

L.G. Sokolov North-West Regional Scientific and Clinical Center

Vladimirova A.A.

Irkutsk Regional Clinical Consultative and Diagnostic Center

Galkova Z.V.

Scientific Research Institute of Healthcare Organization and Medical Management;
Pirogov Russian National Research Medical University

Dvoinikova E.R.

Medical Center of the Far Eastern Federal University

Ivinskaya O.V.

Viveya Consultative and Diagnostic Center

Kochergina E.S.

Primorsk Regional Clinical Hospital No. 1

Lobach S.M.

L.G. Sokolov North-West Regional Scientific and Clinical Center

Neustroev V.G.

Irkutsk Regional Clinical Diagnostic Center

Pyrkh A.V.

Viveya Consultative and Diagnostic Center

Raspereza D.V.

L.G. Sokolov North-West Regional Scientific and Clinical Center

Khalin K.D.

Clinical Hospital RZD-Medicine;
Pacific State Medical University

Tzoy A.P.

Center for Personalized Medicine LLC

Colonic perforation due to diagnostic or therapeutic colonoscopy

Authors:

Agapov M.Y., Aleshina N.V., Arkhipov V.V., Vanyan A.V., Vladimirova A.A., Galkova Z.V., Dvoinikova E.R., Ivinskaya O.V., Kochergina E.S., Lobach S.M., Neustroev V.G., Pyrkh A.V., Raspereza D.V., Khalin K.D., Tzoy A.P.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2021;10(1): 5‑10

DOI: 10.17116/dokgastro2021100115

Read: 21299 times

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Table of contents

COLONIC PERFORATION DUE TO DIAGNOSTIC OR THERAPEUTIC COLONOSCOPY
COLONIC PERFORATION DUE TO DIAGNOSTIC OR THERAPEUTIC COLONOSCOPY

To cite this article:

Agapov MY, Aleshina NV, Arkhipov VV, et al. . Colonic perforation due to diagnostic or therapeutic colonoscopy. Russian Journal of Evidence-Based Gastroenterology. 2021;10(1):5‑10. (In Russ.)
https://doi.org/10.17116/dokgastro2021100115

Подписка 2025-2 (Russian Journal of Evidence-Based Gastroenterology)
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OBJECTIVE

To investigate the causes, approaches, and treatment results for colonic perforation associated with diagnostic and therapeutic colonoscopy.

MATERIALS AND METHODS

Fifty cases of colonic perforation (11 diagnostic (DC) and 39 therapeutic colonoscopies (TC)) were included in this retrospective multicenter study.

RESULTS

Patients with perforations after DC were older (72.4±6.1 vs. 60.1±11.8 years, respectively, p=0.001) and had larger defect size (21.6±13.3 mm vs. 8.6±10.1 mm, respectively, p=0.001). Clips were used as a primary treatment in 29 cases (DC-1, TC-28), surgery — in 21 (including all cases of delayed perforation). Two patients (6.9%) from the clips group required surgical treatment afterward. An average perforation size was larger in the surgery group (16.2±15.8 mm vs. 8.03±6.7 mm, respectively, p=0.015).

CONCLUSION

Perforation after DC and delayed perforation are risk factors for surgical treatment for colonic perforation associated with colonoscopy.

Keywords:

colonoscopy
perforation
surgery
treatment

Authors:

Agapov M.Y.

City Clinical Oncology Hospital

Aleshina N.V.

City Clinical Oncological Dispensary

Arkhipov V.V.

Scientific Center for Examination of Medical Devices

Vanyan A.V.

L.G. Sokolov North-West Regional Scientific and Clinical Center

Vladimirova A.A.

Irkutsk Regional Clinical Consultative and Diagnostic Center

Galkova Z.V.

Scientific Research Institute of Healthcare Organization and Medical Management;
Pirogov Russian National Research Medical University

Dvoinikova E.R.

Medical Center of the Far Eastern Federal University

Ivinskaya O.V.

Viveya Consultative and Diagnostic Center

Kochergina E.S.

Primorsk Regional Clinical Hospital No. 1

Lobach S.M.

L.G. Sokolov North-West Regional Scientific and Clinical Center

Neustroev V.G.

Irkutsk Regional Clinical Diagnostic Center

Pyrkh A.V.

Viveya Consultative and Diagnostic Center

Raspereza D.V.

L.G. Sokolov North-West Regional Scientific and Clinical Center

Khalin K.D.

Clinical Hospital RZD-Medicine;
Pacific State Medical University

Tzoy A.P.

Center for Personalized Medicine LLC

Received:

22.12.2020

Accepted:

04.01.2021

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