Purpose of review We will review the current management of colonic perforations, with particular emphasis on iatrogenic perforations caused by colonoscopy, the leading etiology. We will focus on recently developed endoscopic techniques and technologies that obviate morbid emergency surgery (the standard management approach in years past). Recent findings Colonic perforations are rare but potentially fatal complications of both diagnostic and therapeutic colonoscopy resulting in death in approximately 5% of cases with the mortality increasing with delay in diagnosis and treatment. As novel endoscopic techniques and tools have flourished in recent years, our approach to management of these perforations has evolved. With the availability of newer tools such as over the scope clips, enhanced through the scope clips and novel endoscopic suturing devices, colonic perforations can be managed effectively in many or most patients without the morbidity of surgical interventions. Summary With expanding use of colonoscopy, inadvertent outcomes such as perforations are bound to increase as well. Early diagnosis permits minimally invasive, nonsurgical, endoscopic management in most cases if the expertise and tools are available. Centers with high colonoscopy volumes including therapeutic procedures would be well served to invest in the requisite technologies and expertise.

Prabin Sharma

Stavros N. Stavropoulos

Current Opinion in Gastroenterology

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​每双月刊出版，并就该领域的关键发展提供独特而广泛的视角，每期《当前胃肠病学观点》都包含我们专家编辑团队精心挑选的评论文章。全年出版了十二个学科——包括胃肠道感染、营养和炎症性肠病——每期还包含注释参考文献，详细说明最重要论文的优点。

Current Opinion in Gastroenterology is a bimonthly journal that offers unique perspectives on key developments in the field. Each issue features carefully selected review articles by our expert editorial team, covering twelve disciplines including gastrointestinal infections, nutrition, and inflammatory bowel disease. Additionally, each issue includes annotated references that highlight the merits of the most significant papers.

《Current Opinion in Gastroenterology》是一本每两个月出版的期刊，提供该领域关键发展的独特视角。每期都包含由我们专家编辑团队精心挑选的评论文章，涵盖包括胃肠道感染、营养和炎症性肠病在内的十二个学科。此外，每期还附有注释参考文献，详细说明最重要论文的优点。

Category	Quartile
医学	3
医学, 胃肠肝病学	4

Endoscopic management of colonic perforations

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Journal Info

Category	Quartile
GASTROENTEROLOGY & HEPATOLOGY	2