2017 WSES guidelines for the management of iatrogenic colonoscopy perforation

Pietro Genova, Salomone Disaverio, Alain Chichom-Mefire, Miklosh Bala, Gustavo P. Fraga, Iradj Sobhani, Carlos Ordoñez, Richard P. Ten Broek, Aurelien Amiot, Federico Coccolini, Riccardo Memeo, Offir Ben-Ishay, Maria Clotilde Carra, Carlos Mesquita, Yoram Kluger, Michele Pisano, Bruno M. Pereira, Luca Ansaloni, Massimiliano Mutignani, Aleix Martínez-PérezYann Lebaleur, Solafah Abdalla, Ramiro Manzano-Núñez, Gustavo M. Machain, Franca Patrizi, Pietro Genova, Nicola De'Angelis, Giorgio Bianchi, Fernando Machado, Juan Carlos Salameamolina, Belinda Desimone, Mohammed Siddiqui, Federica Gaiani, Gian Luigi De'Angelis, Gian Luigi De'Angelis, Hany Bahouth, Massimo Sartelli, Edoardo Picetti, Jeffry L. Kashuk, Luigi Zorcolo, Fausto Catena, Osvaldo Chiara, Sandro Rizoli, Francesco Brunetti, Juan Carlos Puyana, Andrew B. Peitzman, Rao Ivatury, Walter Biffl, Raul Coimbra, Daniel Casanova, Andrew W. Kirkpatrick, Ronald V. Maier, Ronald V. Maier, Dieter G. Weber

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


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 post- colonoscopy), 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.
Original languageEnglish
Number of pages20
JournalWorld Journal of Emergency Surgery
Publication statusPublished - 2018

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine


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