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International Journal of Colorectal Disease

, Volume 26, Issue 3, pp 393–394 | Cite as

Subcutaneous emphysema, pneumomediastinum and pneumoperitoneum after diagnostic colonoscopy for ulcerative colitis: a rare but possible complication in patients with multiple risk factors

  • Maria CappelloEmail author
  • Claudia Randazzo
  • Sergio Peralta
  • Gianfranco Cocorullo
Letter to the Editor

Dear Editor:

Colonoscopy is regarded as a safe procedure, but complications may occur. The most dreaded are perforation and massive bleeding of the colon. The incidence of perforation is low but, despite increased experience with the procedure, it remains unchanged over time and in a large population study ranges from 0.6 to 1 per 1.000 procedures, depending on the centre and the data source. Few studies have assessed risk factors for colonoscopy-related bleeding and perforation. Gatto et al. have reported that there was a significant trend in the incidence of perforation with increasing age, people aged 75 years or older having a fourfold risk as compared to those aged 65–69 years; same results were obtained by Levin et al. in a series of more than 16.000 colonoscopies. The risk for adverse events has been also associated with comorbidity: diabetes, stroke, cardiovascular disease, chronic obstructive pulmonary disease. Moreover, risk factors for the development of perforations are...

Keywords

Chronic Obstructive Pulmonary Disease Inflammatory Bowel Disease Ulcerative Colitis Ticlopidine Subcutaneous Emphysema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Maria Cappello
    • 1
    Email author
  • Claudia Randazzo
    • 1
  • Sergio Peralta
    • 1
  • Gianfranco Cocorullo
    • 2
  1. 1.Sezione e U.O.C. di Gastroenterologia, Dipartimento Biomedico di Medicina Interna e SpecialisticaUniversità di PalermoPalermoItaly
  2. 2.Dipartimento di Discipline Chirurgiche e OncologicheUniversità di PalermoPalermoItaly

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