Iatrogenic perforation of the colon and rectum
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 wordsPerforation, iatrogenic colonic Proctosigmoidoscopy Colonoscopy Barium enema
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- 2.Kunath U. Symptoms and treatment of iatrogenic rectum-colon perforation. Proctology 1979 Feb:30–6.Google Scholar
- 4.Filler D, Kunze HH, Tomak J. Barium peritonitis. Proctology 1980 Feb: 88–90.Google Scholar
- 6.Kay S, Choy SH. Results of intraperitoneal injection of barium sulfate contrast medium: experimental study. Arch Pathol 1955;59:388–92.Google Scholar
- 8.Hau T, Ahrenholz DH, Simons RL. Secondary bacterial peritonitis: the biologic basis of treatment. Curr Probl Surg 1979 Oct; 16:4–65.Google Scholar
- 10.Cochran DQ, Almond CH, Shucart WA. An experimental study of the effects of barium and intestinal contents on the peritoneal cavity. AJR 1963;89:883–7.Google Scholar
- 11.Hullo A, Bret M, Perrot E, Berard P. Pronostic des perforations recto-coliques observées au cours de lavements simples ou barytés. Anesth Analg (Paris) 1977;34:169–92.Google Scholar