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Table 5 Risk factors to evaluate when considering damage control strategy for iatrogenic colonoscopy perforations (ICP)

From: 2017 WSES guidelines for the management of iatrogenic colonoscopy perforation

Risk factors

Description

References

Age

> 67

[140]

Delayed diagnosis

> 24 h

[140, 142]

Hemodynamic instability

Need for vasopressors before or during surgery

[123, 143]

“Blunt” ICP

Perforation caused by excessive dilatation or during diagnostic procedures

[142]

Medication use

Chronic steroid therapy

[13, 140]

Severe sepsis

Peritonitis with organ failure

[135, 141]

High surgical risk

ASA III and IV

[142]