Colonic perforation after colonoscopy: indications for conservative care: LTP57

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Aim:Our study focused on the indications for conservative care.Method:We conducted a retrospective review of 22 patients who were managed for colonoscopyinduced perforation from June 2004 to July 2009Results:The initial reasons for having undergone colonoscopy included 12 cases for diagnosis (54.4%), and 10 cases for treatment (45.5%). The most common site of perforation was sigmoid colon (77.3%). Five patients (22.7%, Group I) underwent conservative treatment and 17 patients (77.3%) received operativeprocedures and invasive treatment who included 13 cases ofprimary closure, two cases of resection with stoma, one case of resection, and one case of drainage. Six cases (37.5%) were approached laparoscopically with simple closure. The duration of hospital stay was no different between the two groups (P = 0.432). Between the two groups, there was a significant difference between thepresence of abdominal pain and body temperature (P = 0.043, 0.011). All patients who were managed by conservative treatment have been diagnosed within 24 hours and received bowelpreparation even if there were no significant differences between two groupsConclusion:Conservative care for colonic perforation after colonoscopy is feasible for patients who have been diagnosed within 24 hours, without abdominal pain, with normal body temperature and received bowelpreparation.

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