https://scholars.lib.ntu.edu.tw/handle/123456789/558599
Title: | Long-term follow-up for patients with colonic perforation due to colonoscopy: From clinical and medicolegal viewpoints | Authors: | TZU-CHUN CHEN JI-SHIANG HUNG BEEN-REN LIN JOHN HUANG JIN-TUNG LIANG |
Issue Date: | 2017 | Publisher: | Medknow Publications | Journal Volume: | 50 | Journal Issue: | 6 | Start page/Pages: | 195-199 | Source: | Formosan Journal of Surgery | Abstract: | Background: This retrospective study analyzes the clinicopathologic features and medicolegal debates on this complication. Methods: There were 29 records of colonic perforations, whose charts were retrospectively reviewed. Results: A total of 26 perforations occurred as a result of diagnostic colonoscopy, and three occurred after therapeutic colonoscopy. Eight perforations were diagnosed immediately during the procedure, based on the revelation of intraperitoneal organs with bleeding of bowel wall on the colonoscopic monitor. Twenty patients were diagnosed as a hollow-organ perforation within 12 h after the completion of colonoscopy, whereas one perforation was found more than 24 h after colonoscopy. Abdominal pain and distention are the most common symptoms. All the patients underwent emergency surgery. One patient had wound infection, and two patients had leakage of the repair site. One patient aged 80 died of pulmonary septic complication. Our hospital paid all additional expenses which were not covered by the National Health Insurance Bureau for all patients, ranging from 500.0 to 1500.0 US dollars (mean ± standard deviation, 549.0 ± 145.0 US dollars). Four patients (13.8%) asked for further compensation of the complication and one litigated. Conclusions: Iatrogenic colonic perforation due to endoscopy is potentially lethal, especially for aged patients. Some patients and their family viewed the perforation as malpractice and asked for compensations. Usually, the primary repair of the perforation site is safe, and long-term follow-up reveals no sequelae after adequate treatment. © 2017 Formosan Journal of Surgery. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041303851&doi=10.4103%2ffjs.fjs_81_17&partnerID=40&md5=fccc3796f5995d9ad86371a55c72aa3d https://scholars.lib.ntu.edu.tw/handle/123456789/558599 |
ISSN: | 1682-606X | DOI: | 10.4103/fjs.fjs_81_17 |
Appears in Collections: | 醫學系 |
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