2017 WSES guidelines for the management of iatrogenic colonoscopy perforation

被引：0

作者：

Nicola de’Angelis

Salomone Di Saverio

Osvaldo Chiara

Massimo Sartelli

Aleix Martínez-Pérez

Franca Patrizi

Dieter G. Weber

Luca Ansaloni

Walter Biffl

Offir Ben-Ishay

Miklosh Bala

Francesco Brunetti

Federica Gaiani

Solafah Abdalla

Aurelien Amiot

Hany Bahouth

Giorgio Bianchi

Daniel Casanova

Federico Coccolini

Raul Coimbra

Gian Luigi de’Angelis

Belinda De Simone

Gustavo P. Fraga

Pietro Genova

Rao Ivatury

Jeffry L. Kashuk

Andrew W. Kirkpatrick

Yann Le Baleur

Fernando Machado

Gustavo M. Machain

Ronald V. Maier

Alain Chichom-Mefire

Riccardo Memeo

Carlos Mesquita

Juan Carlos Salamea Molina

Massimiliano Mutignani

Ramiro Manzano-Núñez

Carlos Ordoñez

Andrew B. Peitzman

Bruno M. Pereira

Edoardo Picetti

Michele Pisano

Juan Carlos Puyana

Sandro Rizoli

Mohammed Siddiqui

Iradj Sobhani

Richard P. ten Broek

Luigi Zorcolo

Maria Clotilde Carra

Yoram Kluger

机构：

[1] Henri Mondor University Hospital,Unit of Digestive, Hepato

[2] AP-HP,Pancreato

[3] and University of Paris Est,Biliary Surgery and Liver Transplantation

[4] UPEC,Department of Surgery

[5] Maggiore Hospital,General Surgery and Trauma Team

[6] Niguarda Hospital,Department of Surgery

[7] Macerata Hospital,Department of General and Digestive Surgery

[8] University Hospital Dr Peset,Unit of Gastroenterology and Endoscopy

[9] Maggiore Hospital,Department of Trauma Surgery

[10] Royal Perth Hospital,Acute Care Surgery at The Queen’s Medical Center

[11] General Surgery I,Department of General Surgery

[12] Papa Giovanni XXIII Hospital,Trauma and Acute Care Surgery Unit

[13] John A. Burns School of Medicine,Gastroenterology and Endoscopy Unit

[14] University of Hawaii,Department of Gastroenterology and Digestive Endoscopy

[15] Rambam Healthcare Campus,Unit of Digestive Surgery and Liver Transplantation

[16] Hadassah Hebrew University Medical Center,Department of Surgery

[17] University Hospital of Parma,Unit of Digestive Surgery

[18] Henri Mondor Hospital,Division of Trauma Surgery, Department of Surgery

[19] AP-HP,Department of General and Oncological Surgery

[20] and University of Paris Est,Assia Medical Group, Department of Surgery, Sackler School of Medicine

[21] UPEC,Department of Emergency Surgery, Hospital de Clínicas, School of Medicine

[22] University Hospital Marqués de Valdecilla,Il Cátedra de Clínica Quirúgica, Hospital de Clínicas, Facultad de Ciencias Medicas

[23] University of Cantabria,Department of Surgery

[24] UC San Diego Health System,Department of Surgery and Obstetrics/Gynecologic

[25] Cannes Hospital,Unit of General and Emergency Surgery, Trauma Center

[26] School of Medical Sciences,Department of Trauma and Emergency Center, Vicente Corral Moscoso Hospital

[27] University of Campinas (Unicamp),Digestive and Interventional Endoscopy Unit

[28] University Hospital Paolo Giaccone,Department of Surgery and Critical Care

[29] Virginia Commonwealth University,Department of Surgery

[30] Tel Aviv University,Department of Anesthesiology and Intensive Care

[31] Department of Surgery,Critical Care Medicine

[32] Critical Care Medicine and the Regional Trauma Service,Trauma and Acute Care Service

[33] Foothills Medical Center,Department of Surgery

[34] UDELAR,Department of Surgery, Colorectal Surgery Unit

[35] Universidad National de Asuncion,undefined

[36] University of Washington,undefined

[37] Regional Hospital,undefined

[38] Unit of General Surgery and Liver Transplantation,undefined

[39] Policlinico di Bari “M. Rubino”,undefined

[40] Centro Hospitalar e Universitario de Coimbra,undefined

[41] University of Azuay,undefined

[42] Niguarda Ca’Granda Hospital,undefined

[43] Universidad del Valle,undefined

[44] Fundacion Valle del Lili,undefined

[45] UPMC,undefined

[46] University of Pittsburg,undefined

[47] School of Medicine,undefined

[48] University Hospital of Parma,undefined

[49] University of Pittsburg,undefined

[50] School of Medicine,undefined

来源：

World Journal of Emergency Surgery | / 13卷

关键词：

Iatrogenic colonoscopy perforation; Colonoscopy; Gastrointestinal endoscopy; Emergency surgery; Laparoscopy; Antibiotic therapy; Intra-abdominal infection; Open abdomen;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Iatrogenic colonoscopy perforation (ICP) is a severe complication that can occur during both diagnostic and therapeutic procedures. Although 45–60% of ICPs are diagnosed by the endoscopist while performing the colonoscopy, many ICPs are not immediately recognized but are instead suspected on the basis of clinical signs and symptoms that occur after the endoscopic procedure. There are three main therapeutic options for ICPs: endoscopic repair, conservative therapy, and surgery. The therapeutic approach must vary based on the setting of the diagnosis (intra- or post-colonoscopy), the type of ICP, the characteristics and general status of the patient, the operator’s level of experience, and surgical device availability.

引用

共 924 条

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