Hi, I'm having a colonoscopy this week and I'm just doing some research beforehand. I will be having conscious sedation for the procedure. I have heard that although it is rare, colonoscopies can cause bowel perforations. Does this happen during the procedure and do you feel symptoms of this immediately? Or is it something you will start to feel hours or days later? How is it diagnosed? How is it treated? Does anyone have experience of this? Thank you
C'est très rare et particulièrement si vous avez un spécialiste compétent. Les signes à surveiller en cas de saignement qui ne s'arrête pas (quelques taches de sang sont tout à fait normales) figureront sur la fiche d'information qu'ils doivent vous fournir. Même sur ce site où les gens parlent naturellement de toutes les difficultés qu'ils ont rencontrées, cela est extrêmement rarement mentionné, alors lisez simplement votre fiche d'information et ne vous inquiétez vraiment pas pour cela. Il y a assez de raisons d'être anxieux sans ajouter des choses qui n'arriveront pas.
Essayez de ne pas vous inquiéter des complications, car elles sont très rares. J'avais très peur quand j'en ai eu une, mais tout s'est bien passé et il n'y a eu aucune vraie douleur, seulement un léger inconfort, mais plus dans la région de mon ventre. Ce n'est vraiment pas de quoi s'inquiéter, essayez de vous détendre et ce sera plus facile. J'ai trouvé la préparation la pire partie. Bonne chance !
As already replied to the prep is the worst part!. As for perforation i would think the specialist would realise during the exam if this happens,,,or possibly there would be symptoms of heavy bleeding during the following couple of days. However let me put your mind at rest having had 6 colonoscopies. I have never had any bleeding or pain during or after the exam even when polyp were removed. As for perforation it is extremely rare....in fact about 1 in 500/800. When i had my last colonoscopy i asked the doctor who gave me my immediaete results if he had ever known of a perforation. He said he had been in that department for 8 years and had never heard of even just one. Maybe he wouldn`t tell me anyway but i tended to believe him .Also there is a risk to every medical procedure,,,,even minor ones. You will be ok.
A Colonoscopy operator would likely see it happen immediately during the procedure. I have problems with the drugs used in conscious sedation so I opted for a drug-free Colonoscopy. As a result I could see the procedure on the monitor. That way both of us would see a perforation immediately if it happens.
I found that in a four month study of colonoscopies in North East Thames, West Midlands, and East Anglia, the rate of perforations from a Colonoscopy was 1 out of 769. No one thinks that rate is optimal but I would take that risk without hesistation. The risk is further reduced if you are not elderly and have a competent and experienced Colonoscopy operator.
I have read a number of studies on the incidence of perforation. The use of the colonoscopy occurs in a number of situations. Some people have colonoscopies because of the presence of an inflammatory bowel disease (IBD). Naturally, the existence of IBD likely will make the bowel more compromised, leading to a higher risk of perforation. Then again, an otherwise healthy individual under the age of 60 will not have as great a risk of having a perforation.
The reports I have read reveal a perforation rate of some1200where in the 1/1000 to 1/1200 range. Reports that I have read related to colonoscopies done in Europe reveal a lower rate, than these numbers in the US. I suspect that since the US system generally pushes for the use of many drugs like versed and/or propofol for this procedure, that the rate may be higher in the US because more alert people will verbalize the existence of pain. Those who are highly medicated will be too "out of it" to even be aware of any such pain. Pain is the body's way of warning us of something that may be harmful, and a perforation is definitely harmful.
C'est très intéressant. Je pense qu'il peut aussi y avoir une différence dans le niveau de médecin requis pour la procédure. La procédure de coloscopie nécessite des connaissances, de l'expérience et de la dextérité. Mais clairement, certaines conditions ou situations seront également plus susceptibles de perforation. J'ai un ami qui n'avait jamais subi de procédure interne et qui avait déjà une perforation due à une infection et, sans surprise, la coloscopie était très douloureuse et en effet, ils se sont retirés assez rapidement.
Hello. I am not a doctor, but just using a little common sense here I have noticed most people write a response and actually fail to answer this persons questions. I see this a lot with forums where people want to "feel" like they are helping yet fail to answer a persons questions.
The initial posting asked what symptoms a person could expect if they were perforated. How about more answers along this line and less about not worrying? Obviously perforations do happen, so this persons concerns are REAL.
Thanks for reading and hopefully hearing.
C'est dans la feuille qu'ils vous donnent. Saignements excessifs, parfois douleurs abdominales, et parfois fièvre. C'est très rare et même les quelques cas qui se produisent sont généralement lorsqu'il y a une chirurgie et que la chirurgie est très difficile pour une raison quelconque. Il est naturel de penser aux scénarios les plus pessimistes, mais comparé à beaucoup d'interventions chirurgicales, celles-ci sont rares et généralement encore plus rares que ne le montre la statistique brute. Mon colonoscopiste est complètement franc sur le nombre de ses procédures qui ont mal tourné d'une manière ou d'une autre (et elles sont très rares), mais dans chaque cas, il y avait une caractéristique extrêmement compliquée, donc c'était un risque rare qui s'est produit dans des circonstances extrêmement rares. C'est très rare.