CONTEMPORARY TREATMENT OF IATROGENIC ENDOSCOPIC PERFORATIONS
CONTEMPORARY TREATMENT OF IATROGENIC ENDOSCOPIC PERFORATIONS

Summary/Abstract: Colonoscopy is the most often applied procedure in diagnosis of colon diseases. It could be usednot only for diagnostic purpose, but as therapeutic manipulation too. The iatrogenic colonoscopic perforation is not so common complication, but it is related with severe condition, with significant morbidity and mortality rates. CT method is the main choice for discovering free gas or fluid in the abdominal cavity or the retroperitoneum. The treatment of these conditions includes conservative, endoscopic and surgical procedures. We examined and analyzed retrospectively allthe patients diagnosed and treated for iatrogenic colonoscopic perforations in the Surgical Department of UMHAT ―Eurohospital-Plovdiv‖ for the period from January 2013 to December 2019. For this time we treated 11 patients with iatrogenic perforations. For the examined period we operated 10 patients with iatrogenic colonoscopic perforations and treated 1 patient with conservative management. 7 of the patients were men and the rest were women. Laparoscopic interventions were carried out in 8 patients.7 of the patients were in the over-60 age group. Although the iatrogenic perforation is not so common complication of the colonoscopy, it is the most severe one. This condition has a great rate of morbidity and mortality. Key moment, in the achievement of good therapeutic results , is the right choice of management of the condition-conservative or surgical. Laparoscopic surgery.

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