2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Por:
de'Angelis N, Di Saverio S, Chiara O, Sartelli M, Martínez-Pérez A, Patrizi F, Weber DG, Ansaloni L, Biffl W, Ben-Ishay O, Bala M, Brunetti F, Gaiani F, Abdalla S, Amiot A, Bahouth H, Bianchi G, Casanova D, Coccolini F, Coimbra R, de'Angelis GL, De Simone B, Fraga GP, Genova P, Ivatury R, Kashuk JL, Kirkpatrick AW, Le Baleur Y, Machado F, Machain GM, Maier RV, Chichom-Mefire A, Memeo R, Mesquita C, Salamea Molina JC, Mutignani M, Manzano-Núñez R, Ordoñez C, Peitzman AB, Pereira BM, Picetti E, Pisano M, Puyana JC, Rizoli S, Siddiqui M, Sobhani I, Ten Broek RP, Zorcolo L, Carra MC, Kluger Y and Catena F
Publicada:
24 ene 2018
Resumen:
Iatrogenic colonoscopy perforation (ICP) is a severe complication that can occur during both diagnostic and therapeutic procedures. Although 45-60% of ICPs are diagnosed by the endoscopist while performing the colonoscopy, many ICPs are not immediately recognized but are instead suspected on the basis of clinical signs and symptoms that occur after the endoscopic procedure. There are three main therapeutic options for ICPs: endoscopic repair, conservative therapy, and surgery. The therapeutic approach must vary based on the setting of the diagnosis (intra-or postcolonoscopy), the type of ICP, the characteristics and general status of the patient, the operator's level of experience, and surgical device availability.
Although ICPs have been the focus of numerous publications, no guidelines have been created to standardize the management of ICPs. The aim of this article is to present the World Society of Emergency Surgery (WSES) guidelines for the management of ICP, which are intended to be used as a tool to promote global standards of care in case of ICP. These guidelines are not meant to substitute providers' clinical judgment for individual patients, and they may need to be modified based on the medical team's level of experience and the availability of local resources.
Filiaciones:
de'Angelis N:
1Unit of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, AP-HP, and University of Paris Est, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France
Di Saverio S:
2Department of Surgery, Maggiore Hospital, Bologna, Italy
Chiara O:
3General Surgery and Trauma Team, Niguarda Hospital, Milan, Italy
Sartelli M:
Department of Surgery, Macerata Hospital, Macerata, Italy
:
5Department of General and Digestive Surgery, University Hospital Dr Peset, Valencia, Spain
Patrizi F:
6Unit of Gastroenterology and Endoscopy, Maggiore Hospital, Bologna, Italy
Weber DG:
7Department of Trauma Surgery, Royal Perth Hospital, Perth, Australia
Ansaloni L:
8General Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy
Biffl W:
9Acute Care Surgery at The Queen's Medical Center, John A. Burns School of Medicine, University of Hawaii, Honolulu, USA
Ben-Ishay O:
Department of General Surgery, Rambam Healthcare Campus, Haifa, Israel
Bala M:
11Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Brunetti F:
1Unit of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, AP-HP, and University of Paris Est, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France
Gaiani F:
12Gastroenterology and Endoscopy Unit, University Hospital of Parma, Parma, Italy
Abdalla S:
1Unit of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, AP-HP, and University of Paris Est, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France
Amiot A:
13Department of Gastroenterology and Digestive Endoscopy, Henri Mondor Hospital, AP-HP, and University of Paris Est, UPEC, Creteil, France
Bahouth H:
Department of General Surgery, Rambam Healthcare Campus, Haifa, Israel
Bianchi G:
1Unit of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, AP-HP, and University of Paris Est, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France
Casanova D:
Unit of Digestive Surgery and Liver Transplantation, University Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
Coccolini F:
8General Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy
Coimbra R:
15Department of Surgery, UC San Diego Health System, San Diego, CA USA
de'Angelis GL:
12Gastroenterology and Endoscopy Unit, University Hospital of Parma, Parma, Italy
De Simone B:
16Unit of Digestive Surgery, Cannes Hospital, Cannes, France
Fraga GP:
17Division of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP Brazil
Genova P:
Department of General and Oncological Surgery, University Hospital Paolo Giaccone, Palermo, Italy
Ivatury R:
19Virginia Commonwealth University, Richmond, VA USA
Kashuk JL:
20Assia Medical Group, Department of Surgery, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Kirkpatrick AW:
21Department of Surgery, Critical Care Medicine and the Regional Trauma Service, Foothills Medical Center, Calgari, AB Canada
Le Baleur Y:
13Department of Gastroenterology and Digestive Endoscopy, Henri Mondor Hospital, AP-HP, and University of Paris Est, UPEC, Creteil, France
Machado F:
22Department of Emergency Surgery, Hospital de Clínicas, School of Medicine, UDELAR, Montevideo, Uruguay
Machain GM:
23Il Cátedra de Clínica Quirúgica, Hospital de Clínicas, Facultad de Ciencias Medicas, Universidad National de Asuncion, Asuncion, Paraguay
Maier RV:
24Department of Surgery, University of Washington, Seattle, WA USA
Chichom-Mefire A:
Department of Surgery and Obstetrics/Gynecologic, Regional Hospital, Limbe, Cameroon
Memeo R:
Unit of General Surgery and Liver Transplantation, Policlinico di Bari M. Rubino, Bari, Italy
Mesquita C:
27Unit of General and Emergency Surgery, Trauma Center, Centro Hospitalar e Universitario de Coimbra, Coimbra, Portugal
Salamea Molina JC:
Department of Trauma and Emergency Center, Vicente Corral Moscoso Hospital, University of Azuay, Cuenca, Ecuador
Mutignani M:
29Digestive and Interventional Endoscopy Unit, Niguarda Ca'Granda Hospital, Milan, Italy
Manzano-Núñez R:
30Department of Surgery and Critical Care, Universidad del Valle, Fundacion Valle del Lili, Cali, Colombia
Ordoñez C:
30Department of Surgery and Critical Care, Universidad del Valle, Fundacion Valle del Lili, Cali, Colombia
Peitzman AB:
Department of Surgery, UPMC, University of Pittsburg, School of Medicine, Pittsburg, USA
Pereira BM:
17Division of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP Brazil
Picetti E:
32Department of Anesthesiology and Intensive Care, University Hospital of Parma, Parma, Italy
Pisano M:
8General Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy
Puyana JC:
33Critical Care Medicine, University of Pittsburg, School of Medicine, Pittsburg, USA
Rizoli S:
34Trauma and Acute Care Service, St Michael's Hospital, Toronto, ON Canada
Siddiqui M:
1Unit of Digestive, Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Henri Mondor University Hospital, AP-HP, and University of Paris Est, UPEC, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France
Sobhani I:
13Department of Gastroenterology and Digestive Endoscopy, Henri Mondor Hospital, AP-HP, and University of Paris Est, UPEC, Creteil, France
Ten Broek RP:
35Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
Zorcolo L:
36Department of Surgery, Colorectal Surgery Unit, University of Cagliari, Cagliari, Italy
Carra MC:
37University Paris Diderot, Rothschild Hospital, AP-HP, Paris, France
Kluger Y:
Department of General Surgery, Rambam Healthcare Campus, Haifa, Israel
Catena F:
38Department of Emergency and Trauma Surgery of the University Hospital of Parma, Parma, Italy
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