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 Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

1.1K
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
1.1K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

926
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
926
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

851
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
851
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

1.2K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.2K
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

1.3K
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
1.3K
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

1.3K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
1.3K

You might also read

Related Articles

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

Sort by
Same author

Endoscopic submucosal dissection for synchronous early hypopharyngeal and esophageal squamous cell carcinoma: a case report with 24-month follow-up.

International journal of surgery case reports·2026
Same author

Impact of Stopping Thiopurines Under Anti-Tumor Necrosis Factor Therapy in Inflammatory Bowel Disease: A Population-Based Study.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association·2026
Same author

Association of early vedolizumab trough levels with clinical, biochemical, endoscopic response and drug optimization during maintenance therapy in patients with inflammatory bowel diseases.

Scientific reports·2026
Same author

Asia-Pacific consensus on the use of artificial intelligence in colorectal cancer screening and surveillance.

iGIE : innovation, investigation and insights·2026
Same author

Endoscopic Diagnosis of Eosinophilic Esophagitis Using a Multi-Task U-Net: A Pilot Study.

Yonsei medical journal·2026
Same author

Prognosis of Korean patients with familial adenomatous polyposis who did not undergo colectomy: a retrospective study.

Clinical endoscopy·2026

Related Experiment Video

Updated: May 6, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
03:43

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

992

Colonic perforation: can we manage it endoscopically?

Jeong-Sik Byeon1

  • 1Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Clinical Endoscopy
|October 22, 2013
PubMed
Summary

Colonoscopy-associated perforations, a growing concern due to advanced procedures, can now be managed medically using endoscopic clipping and antibiotics. Surgery is reserved for severe cases or those not responding to initial treatment.

Keywords:
ColonColonoscopyEndoscopyPerforationSurgical instruments

More Related Videos

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

2.1K
Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

16.7K

Related Experiment Videos

Last Updated: May 6, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
03:43

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

992
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

2.1K
Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

16.7K

Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Colorectal Surgery

Background:

  • Colonic perforation is a serious complication occurring in various clinical settings.
  • Colonoscopy-associated perforation is a significant cause, with incidence rising due to colorectal endoscopic submucosal dissection.
  • Traditional management involved surgery, but medical approaches are now prevalent.

Purpose of the Study:

  • To review the current management strategies for colonoscopy-associated perforations.
  • To highlight the role of medical management, particularly endoscopic clipping and antibiotics.
  • To identify predictors for surgical intervention following endoscopic clipping.

Main Methods:

  • Review of clinical scenarios and diagnostic methods for colonoscopy-associated perforation.
  • Emphasis on medical management including endoscopic clipping and timely antibiotic administration.
  • Analysis of factors predicting the need for surgery post-endoscopic clipping.

Main Results:

  • Endoscopic clipping is a key component of modern medical management for colonoscopy-associated perforations.
  • Timely antibiotics are crucial for successful non-operative treatment.
  • Large perforations, diagnostic procedures, significant pneumoperitoneum, and severe pain predict surgical necessity.

Conclusions:

  • Medical management, especially endoscopic clipping and antibiotics, is effective for many colonoscopy-associated perforations.
  • Surgical intervention remains necessary for patients with clinical deterioration despite medical treatment.
  • Predictive factors can guide decisions between medical and surgical approaches.