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- W2895810571 abstract "Background and Aims:Intestinal Behcet’s disease may cause serious complications, including massive hemorrhage, fistulisation and intestinal perforation, which are encountered in approximately 50% of patients. Currently, there is little data on iatrogenic ileocolonic perforation during colonoscopy in patients with intestinal Behcet’s disease; therefore, our aim is to perform a retrospective review of records of intestinal Behcet’s disease patients who suffered perforation during or after colonoscopy. Materials and Methods: A total of 2615 colonoscopic examinations were performed between May 2002 and December 2007. The main indication for colonoscopy was intestinal Behcet’s disease in 135 of the 2615 patients. Results:135 patients with Behcet’s disease were evaluated by colonoscopy due to presumed ileocolonic involvement. Eight out of 135 (5.9%) patients had ileal and colonic ulcers. 3 patients (2.22%) had iatrogenic perforation; 2 of whom had profound ulcers in proximal colon and ileum. The third case had ulcers in the sigmoid, descending and transverse colon segments. All 3 patients had undergone surgical intervention that included ileal resection and right hemicolectomy. Conclusion:Colonoscopic examination is commonly used in Behcet’s disease not only for diagnostic purposes but also for surveillance of intestinal involvement. Volcano-shaped ulcers are especially prone to perforate. Both clinicians and endoscopists should be alert against barotrauma during colonoscopy since it may cause perforation. Patients should also be followed, and in case of abdominal pain after colonoscopic examination, colonic perforation should be considered." @default.
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- W2895810571 date "2015-04-29" @default.
- W2895810571 modified "2023-10-17" @default.
- W2895810571 title "Behçet’lilerde ileokolonik perforasyon riski: Üç olgu sunumu ve literatürün gözden geçirilmesi" @default.
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- W2895810571 doi "https://doi.org/10.17940/endoskopi.466686" @default.
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