Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

"Mini-perforation" of the colon--not all postpolypectomy perforations require laparotomy.

J P Christie, J Marrazzo

    Diseases of the Colon and Rectum
    |February 1, 1991
    PubMed
    Summary

    Most colonoscopic perforations, termed "mini-perforations," can be managed nonoperatively with bowel rest and antibiotics. Early recognition and monitoring are key to distinguishing these limited injuries from frank perforations requiring surgery.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Executive Summary: Insights from Cuba's COVID-19 Vaccine Enterprise: Report from a High Level Fact-Finding Delegation to Cuba.

    MEDICC review·2022
    Same author

    Full Technical Report: Insights from Cuba's COVID-19 Vaccine Enterprise: Report from a High Level Fact-Finding Delegation to Cuba.

    MEDICC review·2022
    Same author

    Missed Prevention Opportunities: Why Young, Black MSM with Recent HIV Diagnosis did not Access HIV Pre-exposure Prophylaxis Services.

    AIDS and behavior·2020
    Same author

    Clinical Evaluation of the Cepheid Xpert TV Assay for Detection of Trichomonas vaginalis with Prospectively Collected Specimens from Men and Women.

    Journal of clinical microbiology·2017
    Same author

    Clinical performance of the Solana® Point-of-Care Trichomonas Assay from clinician-collected vaginal swabs and urine specimens from symptomatic and asymptomatic women.

    Expert review of molecular diagnostics·2017
    Same author

    Alteration of the circadian rhythm of intact parathyroid hormone and serum phosphate in women with established postmenopausal osteoporosis.

    Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·1998

    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Colonoscopic polypectomy is a common procedure for removing colon polyps.
    • Perforation is a rare but serious complication of colonoscopy.
    • Understanding different levels of cautery injury is crucial for management.

    Purpose of the Study:

    • To evaluate the management of colonoscopic perforations.
    • To define and characterize
    • mini-perforations
    • and their nonoperative treatment outcomes.

    Main Methods:

    • Retrospective analysis of 4,784 colonoscopic polypectomies over 10 years.
    • Identification and classification of colonoscopic perforations.
    • Clinical assessment and radiological evaluation (free air).

    Related Experiment Videos

    Main Results:

    • Seven perforations occurred, with only two requiring operative intervention.
    • Mini-perforations
    • presented with localized pain, detected within 6-24 hours.
    • Free air confirmed perforation; symptom resolution within 24-48 hours indicated nonoperative success.
    • Nonoperative management involved bowel rest and IV antibiotics.

    Conclusions:

    • Specially defined, limited colonoscopic perforations (
    • mini-perforations
    • ) can usually be treated nonoperatively.
    • Early recognition, bowel rest, antibiotics, and serial examinations are vital.
    • Distinguishing between cautery injury levels (serosal burn, mini-perforation, frank perforation) is essential for appropriate patient management.