Rectal Perforations After Barium Enema: A Review

Feiter, Peter W. de; Soeters, Peter B.; Dejong, Cornelis H. C.

doi:10.1007/s10350-005-0225-3

Cited by 65 publications

(68 citation statements)

References 115 publications

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“…[35][36][37] Barium enema pressures of around 40 mmHg are necessary to perform an adequate double contrast study. 20,22,38 Human studies have shown that the luminal pressure needed to perforate the colon is higher than that: lowest in the cecum, and highest in the rectum.…”

Section: Discussionmentioning

confidence: 99%

The safety of same‐day CT colonography following incomplete colonoscopy with polypectomy

et al. 2015

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Background: Concerns about the risk of bowel perforation for same-day computed tomography colonography (CTC) following an incomplete colonoscopy with polypectomy may lead to unnecessarily postponing the CTC. Objective: The objective of this article is to describe the complications including colon perforations associated with sameday CTC in a cohort who had polypectomies but an incomplete colonoscopy. Design: We conducted a retrospective study. Setting: Our study took place in a single, tertiary referral center. Patients: We studied consecutive patients who had CTC the same day as an incomplete colonoscopy with polypectomy. Interventions: Interventions included optical colonoscopy (OC), endoscopic polypectomies, and same-day CTC. Main outcome measurements: Our main outcome measurements included perforation rate with long-term follow-up. Results: A total of 3% of patients undergoing colonoscopy from January 2008 to December 2012 had same-day CTC following incomplete OC, and 72 polypectomies were performed in 34 (or 17%) of these patients. Incomplete colonoscopies were due to colon tortuosity and looping (25), severe angulations (five), colon mass (two), colon stenosis (one), bradycardia (one). Fifty-three percent of the OCs were screening for colon neoplasia, 29% diagnostic and 18% were surveillance of colon polyps. Most polyps were 5 mm, and found in the left colon. There were no reported complications or perforations associated with same-day CTCs during short-and long-term follow-up. Limitations: Limitations of our analysis included retrospective single-center design, small number of patients for the occurrence, referral to same-day CTC was not standardized, inability to establish safety of CTC for specific scenarios such as after complex polypectomies, strictures, or advanced IBD. Conclusions: Radiologists' apprehension to perform a CTC the same day as an incomplete colonoscopy following polypectomies because of perceived risk of perforation may be unfounded. More data are needed to determine the safety of sameday CTC in patients with high-risk findings during colonoscopy such as a stricture, severe IBD, and after complex polypectomies.

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Section: Discussionmentioning

confidence: 99%

The safety of same‐day CT colonography following incomplete colonoscopy with polypectomy

et al. 2015

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“…In some studies, intraluminal lesions such as cancer, diverticulum or rectal biopsies were reported pre-existing factors. 1 Rectal perforations may be either intraperitoneal or extraperitoneal. Five types of perforations have been described based upon anatomic boundaries.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis is based on the clinical and imaging studies. 1 The radiographic findings depend upon the volume of extravased air and barium.…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneal perforation of the rectum during double-contrast barium-enema examination: a life-threatening complication

Yıldırım¹,

Öztekin²,

Bayam³

et al. 2009

Radiology and Oncology

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“…Several different treatment approaches have been employed for the management of rectal perforations. In a recent review, de Feiter et al [12] noted that surgery is not always indicated for rectal perforation occurring after a barium enema. Intramural or a small retroperitoneal perforation can be treated with conservative measures such as bowel rest, total parenteral feeding, intravenous fluids and broad-spectrum antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Pelvic sepsis after stapled hemorrhoidopexy

Wensen¹,

Leuken²,

Bosscha³

2008

WJG

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Stapled hemorrhoidopexy is a surgical procedure used worldwide for the treatment of grade Ⅲ and Ⅳ hemorrhoids in all age groups. However, lifethreatening complications occur occasionally. The following case report describes the development of pelvic sepsis after stapled hemorrhoidopexy. A literature review of techniques used to manage major septic complications after stapled hemorrhoidopexy was performed. There is no standardized treatment currently available. Stapled hemorrhoidopexy is a safe, effective and time-efficient procedure in the hands of experienced colorectal surgeons.

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Rectal Perforations After Barium Enema: A Review

Cited by 65 publications

References 115 publications

The safety of same‐day CT colonography following incomplete colonoscopy with polypectomy

The safety of same‐day CT colonography following incomplete colonoscopy with polypectomy

Retroperitoneal perforation of the rectum during double-contrast barium-enema examination: a life-threatening complication

Pelvic sepsis after stapled hemorrhoidopexy

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