Diseases of the Colon & Rectum

, Volume 25, Issue 4, pp 305–308 | Cite as

Iatrogenic perforation of the colon and rectum

  • Richard L. Nelson
  • Herand Abcarian
  • M. Leela Prasad


In eight years at Cook County Hospital, 42,000 barium enemas, 16,325 proctosigmoidoscopies, and 1207 colonoscopies were performed. All endoscopic procedures were done by the house staff. There were three perforations due to proctosigmoidoscopy, with one death; three perforations due to colonoscopy, with no deaths; and seven perforations due to barium enema, with no survivors. The adjuvant effect of barium sulfate is proposed as the most likely cause for this excessively high mortality in barium-enema perforation.

Key words

Perforation, iatrogenic colonic Proctosigmoidoscopy Colonoscopy Barium enema 


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Copyright information

© American Society of Colon and Rectal Surgeons 1982

Authors and Affiliations

  • Richard L. Nelson
    • 2
    • 1
  • Herand Abcarian
    • 2
    • 1
  • M. Leela Prasad
    • 2
    • 1
  1. 1.Department of Surgery, Abraham Lincoln School of MedicineUniversity of Illinois at the Medical CenterChicago
  2. 2.Section of Colon & Rectal SurgeryCook County HospitalChicago

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