{"id":10528,"date":"2021-06-16T15:53:42","date_gmt":"2021-06-16T13:53:42","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=10528"},"modified":"2021-06-16T15:53:43","modified_gmt":"2021-06-16T13:53:43","slug":"how-things-have-changed-management-of-colonoscopic-perforations","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/how-things-have-changed-management-of-colonoscopic-perforations\/","title":{"rendered":"How Things Have Changed: Management of Colonoscopic Perforations"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Fifteen years ago, tools to close acute perforations during colonoscopy became available, beginning with hemostatic clips, followed by over-the-scope clips and suturing.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To examine the impact of closure tools on the management of colonoscopic perforation, investigators from Greece divided their experience into 2 periods: July 1996 to December 2012 and January 2013 to March 2020. There were 15 perforations in the first period and 11 in the second period. Of the 26 perforations, 17 were related to instrument passage and 9 to therapeutic colonoscopies. Interestingly, all but 3 perforations occurred in females. In the first period, surgery was performed in 93% of patients, compared to 27% in the second period. Hospitalization duration decreased from 6.9 days to 4 days from period 1 to period 2. Over-the-scope clips were used in 5 cases and were uniformly successful, whereas through-the-scope clips failed in 1 of 2 cases.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fifteen years ago, tools to close acute perforations during colonoscopy became available, beginning with hemostatic clips, followed by over-the-scope clips and suturing.&nbsp; To examine the impact of closure tools on the management of colonoscopic perforation, investigators from Greece divided their experience into 2 periods: July 1996 to December 2012 and January 2013 to March 2020. &#8230; <a title=\"How Things Have Changed: Management of Colonoscopic Perforations\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/how-things-have-changed-management-of-colonoscopic-perforations\/\" aria-label=\"Read more about How Things Have Changed: Management of Colonoscopic Perforations\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[2058,2794,2795],"class_list":["post-10528","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-colon-2","tag-colonoscopic-perforation","tag-emr-related-acute-perforations"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/10528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=10528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=10528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=10528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}