Brief Article
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World J Gastroenterol. Jun 21, 2013; 19(23): 3596-3601
Published online Jun 21, 2013. doi: 10.3748/wjg.v19.i23.3596
Risk factors for colonoscopic perforation: A population-based study of 80118 cases
Uzair Hamdani, Raza Naeem, Fyeza Haider, Pardeep Bansal, Michael Komar, David L Diehl, H Lester Kirchner
Uzair Hamdani, Pardeep Bansal, Michael Komar, David L Diehl, Department of Gastroenterology, Geisinger Medical Center, Danville, PA 17822, United States
Raza Naeem, Department of Gastroenterology, Good Samaritan Hospital, Vincennes, IN 47591, United States
Fyeza Haider, Central Indiana Gastroenterology, Anderson, IN 46016, United States
H Lester Kirchner, Division of Medicine, Gesinger Medical Center, Danville, PA 17822, United States
Author contributions: Hamdani U made the contribution to conception and designed research, acquisition of data and interpretation of data, wrote the paper; Naeem R, Haider F, and Bansal P made the contribution to data gathering and study design and drafting the manuscript; Komar M and Diehl DL made the contribution to revising it critically for important intellectual content; Kirchner HL made the contribution to statistical analysis, study design and methods.
Correspondence to: Uzair Hamdani, MD, Department of Gastroenterology, Geisinger Medical Center, 100 N Academy Ave, Danville, PA 17822, United States.
Telephone: +1-803-3478181 Fax: +1-570-2716852
Received: November 19, 2012
Revised: January 12, 2013
Accepted: April 13, 2013
Published online: June 21, 2013
Core Tip

Core tip: This study is unique because we have used state of the art electronic medical records to collect information about risk factors which can predispose patient to a high risk of perforation. We have looked into multiple risk factors including but not limited to serum albumin, serum creatinine, body mass index (BMI), inpatient and outpatient colonoscopy and intensive care unit (ICU) patients. Limited literature is available about the above mentioned risk factors and there propensity to cause perforation. The important findings deduced from this research can have important implication in day to day practice of colonoscopy. The findings of Albumin, BMI, and Inpatient and out patient colonoscopy particularly performing colonoscopy in ICU setting predisposing to higher risk of perforation are crucial piece of information that can help physician in considering available alternatives which in turn may help to reduce the number of colonoscopic perforations.