Complications Associated with Colonoscopic Interventions: The 10-Year Experienceof a Surgery Clinic

Özet

Objective: A colonoscopy is a routine procedure used for the diagnosis and treatment of colorectal diseases. The aim of this study was to evaluate complications that occurred related to a colonoscopic examination and the results of diagnosis, treatment, and follow-up of patients who developed complications.Methods: A total of 10 patients who underwent a rectosigmoidoscopy or colonoscopy in our endoscopy unit between January 2007 and January 2017 were retrospectively evaluated. The demographic characteristics of the patients, endoscopy findings, diagnosis of complica-tions, time of diagnosis, and the treatment and follow-up results were analyzed.Results: Of the 10 patients who developed complications, 6 were female and 4 were male. The mean age was 63.9 years (min-max: 48–83 years). One patient had a splenic injury, an-other patient had postpolypectomy bleeding, and 8 patients had an iatrogenic colon perfora-tion. Complications occurred in 9 patients during a diagnostic endoscopic procedure, while 1 complication occurred during a therapeutic endoscopic procedure. One elderly patient developed a perforation and as a result of a delayed diagnosis, mortality was seen due to postoperative sepsis.Conclusion: Complications due to colonoscopic procedures can present with a varying clinical picture. Being aware of the complications and risk factors is of extreme importance for early diagnosis and the necessary intervention in these patients.