Table 1 Key questions used to develop the Consensus Conference on iatrogenic colonoscopy perforation (ICP)
From: 2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Risk of ICP | |
Q1 | What are the general recommendations to minimize the risk of ICP during screening and therapeutic colonoscopies? |
Q2 | What is the maximum incidence of ICP considered acceptable for centers where diagnostic or therapeutic colonoscopies are performed? |
Diagnosis of ICP | |
Q3 | What is the minimum information the endoscopist must report after diagnosing an ICP during a colonoscopy procedure? |
Q4 | What are the minimum biochemical and imaging investigations that should be requested in the case of suspected ICP? |
Conservative and endoscopic treatments of ICP | |
Q5 | What are the indications for a conservative treatment or an immediate surgical intervention after an ICP diagnosis? |
Q6 | What is the minimum duration of the hospital observation period for patients who have undergone successful endoscopic closure or conservative management of ICP? |
Q7 | What investigations (clinical, biochemical, and imaging) should be performed during the observation period in patients who have undergone successful endoscopic closure or conservative management of ICP? |
Q8 | What is the recommended type and duration of antibiotic therapy in patients who have undergone successful endoscopic closure or conservative management of ICP? |
Q9 | What is the recommended type and duration of antithrombotic prophylaxis in patients who have undergone successful endoscopic closure or conservative management of ICP? |
Q10 | How long is the fasting time in patients who have undergone successful endoscopic closure or conservative treatments for ICP? |
Surgical treatment of ICP | |
Q11 | Is explorative laparoscopy indicated in all patients with ICP? |
Q12 | What are the indications for conversion from laparoscopy to open surgery in patients with surgical ICP? |
Q13 | What are the key factors when choosing the best surgical approach for ICP? |
Q14 | What are the indications for performing a diverting or terminal stoma in patients with ICP? |
Q15 | What are the indications for drainages in patients with ICP? |
Q16 | What are the indications for the use of damage control surgery in patients with ICP? |
Follow-up of ICP | |
Q17 | Is there any recommendation to perform a surveillance endoscopy after a successful ICP treatment? If so, what is the recommended timing for it? |