Colonoscopic perforation: A report from World Gastroenterology Organization endoscopy training center in Thailand

Table 1 Incidence, findings and management of CP n (%)

Characteristics	Data
CP	15 cases
Incidence of CP
Overall endoscopy (n = 17 357)	0.09
Colonoscopy (n = 13 699)	0.10
Flexible sigmoidoscopy (n = 3658)	0.03
Site of perforation
Sigmoid colon	12 (80)
Transverse colon	2 (13)
Ascending colon	1 (7)
Mechanism of perforation
Direct injury from shaft of scope	7 (47)
Direct injury from tip of scope	5 (33)
Polypectomy	3 (20)
Surgical management1
Primary suture of the perforation	4 (27)
Resection with primary anastomosis	4 (27)
Resection without anastomosis	7 (47)

¹Four patients (27%) had concomitant colorectal cancer.

Table 2 Comparison of patients’ characteristics between the groups who did and did not develop postoperative complications

	Patients with complication	Patients without complication	P
	(n = 8)	(n = 7)
Age over 60	5 (63)	5 (71)	0.71
Female	6 (75)	3 (43)	0.32
ASA ≥ 3	5 (63)	4 (57)	0.83
Perforation size ≥ 5 cm	2 (25)	3 (43)	0.61

Values were given as a number (percentage).