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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2018

Open Access 01-12-2018 | Review

2017 WSES guidelines for the management of iatrogenic colonoscopy perforation

Authors: 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, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2018

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Abstract

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.
Although ICPs have been the focus of numerous publications, no guidelines have been created to standardize the management of ICPs. The aim of this article is to present the World Society of Emergency Surgery (WSES) guidelines for the management of ICP, which are intended to be used as a tool to promote global standards of care in case of ICP. These guidelines are not meant to substitute providers’ clinical judgment for individual patients, and they may need to be modified based on the medical team’s level of experience and the availability of local resources.
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Metadata
Title
2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Authors
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
Fausto Catena
Publication date
01-12-2018
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2018
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-018-0162-9

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