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The sigmoid colon was the site of perforation in 72 per cent with evidence of peritoneal contamination in 59 per cent. Postoperative mortality rate of perforation was 12 per cent and was significantly related to a past history of medical disease and size of perforation. Postoperative morbidity rate was 43 per cent. There were two deaths after colostomy closure. The overall mortality rate of colonoscopic perforation requiring an emergency surgical procedure reached 14 per cent. Haemorrhage always occurred after endoscopic polypectomy; the postoperative course was uneventful in these patients.<\/jats:p>","DOI":"10.1002\/bjs.1800830112","type":"journal-article","created":{"date-parts":[[2007,3,1]],"date-time":"2007-03-01T07:28:40Z","timestamp":1172734120000},"page":"42-44","source":"Crossref","is-referenced-by-count":68,"title":["Multicentre study of surgical complications of colonoscopy"],"prefix":"10.1093","volume":"83","author":[{"given":"J R","family":"Garbay","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, H\u01d2pital de Rangueil , 1 Avenue Jean Pouilhes, 31 054 Toulouse Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Suc","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, H\u01d2pital de Rangueil , 1 Avenue Jean Pouilhes, 31 054 Toulouse Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Rotman","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, H\u01d2pital de Rangueil , 1 Avenue Jean Pouilhes, 31 054 Toulouse Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Fourtanier","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, H\u01d2pital de Rangueil , 1 Avenue Jean Pouilhes, 31 054 Toulouse Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Escat","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, H\u01d2pital de Rangueil , 1 Avenue Jean Pouilhes, 31 054 Toulouse Cedex,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1996,1,1]]},"reference":[{"key":"2024092816220184300_bib1","first-page":"161","article-title":"Management of perforation of the colon at colonoscopy","volume":"87","author":"Kavin","year":"1992","journal-title":"Am J Gastroenterol"},{"key":"2024092816220184300_bib2","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1002\/bjs.1800780509","article-title":"Colon perforation during colonoscopy: surgical versus conservative management","volume":"78","author":"Hall","year":"1991","journal-title":"Br J Surg"},{"key":"2024092816220184300_bib3","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/BF02590825","article-title":"Fiberoptic colonoscopy: complications of colonoscopy and polypectomy","volume":"19","author":"Smith","year":"1976","journal-title":"Dis Colon Rectum"},{"key":"2024092816220184300_bib4","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1136\/gut.24.5.376","article-title":"Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies","volume":"24","author":"Macrae","year":"1983","journal-title":"Gut"},{"key":"2024092816220184300_bib5","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/S0016-5085(19)32782-9","article-title":"Complications of colonoscopy and polypectomy. 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Une s\u00e9rie multicentrique de 100 cas","volume":"85","author":"Cuilleret","year":"1989","journal-title":"Lyon Chir"},{"key":"2024092816220184300_bib10","first-page":"392","article-title":"Facteurs pr\u00e9dictifs de mortalit\u00e9 et de morbidit\u00e9 dans la chirurgie colique d'ex\u00e9r\u00e8se chez les sujets de plus de 75 ans","volume":"127","author":"Horhant","year":"1990","journal-title":"J Chir Paris"},{"key":"2024092816220184300_bib11","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/0002-9610(91)90272-F","article-title":"Preexisting disease as a predictor of the outcome of colectomy","volume":"162","author":"Fallahzadeh","year":"1991","journal-title":"Am J Surg"},{"key":"2024092816220184300_bib12","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1097\/00000658-198012000-00009","article-title":"Operative risk factors of colon resection in the elderly","volume":"192","author":"Boyd","year":"1980","journal-title":"Ann Surg"},{"key":"2024092816220184300_bib13","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1097\/00005373-199209000-00008","article-title":"Blunt colonic injury - a multicenter review","volume":"33","author":"Ross","year":"1992","journal-title":"J Trauma"},{"key":"2024092816220184300_bib14","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1097\/00000658-198906000-00010","article-title":"Primary repair of colon wounds. 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An experience with 1,555 polypectomies","volume":"29","author":"Nivatvongs","year":"1986","journal-title":"Dis Colon Rectum"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800830112","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800830112","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/83\/1\/42\/59418109\/bjs1800830112.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/83\/1\/42\/59418109\/bjs1800830112.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T16:22:12Z","timestamp":1727540532000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/83\/1\/42\/6167530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,1,1]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1996,1,1]]},"published-print":{"date-parts":[[1996,1,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800830112","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1996,1]]},"published":{"date-parts":[[1996,1,1]]}}}