{"id":"https://openalex.org/W2995686089","doi":null,"title":"Outcomes of surgical management of iatrogenic colonic perforation by colonoscopy and risk factors for worse outcome.","display_name":"Outcomes of surgical management of iatrogenic colonic perforation by colonoscopy and risk factors for worse outcome.","publication_year":2019,"publication_date":"2019-03-01","ids":{"openalex":"https://openalex.org/W2995686089","mag":"2995686089","pmid":"https://pubmed.ncbi.nlm.nih.gov/31127987"},"language":"en","primary_location":{"id":"pmid:31127987","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31127987","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of B.U.ON. : official journal of the Balkan Union of Oncology","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075320748","display_name":"Audrius Dulskas","orcid":"https://orcid.org/0000-0003-3692-8962","observed_orcids":["https://orcid.org/0000-0003-3692-8962"]},"institutions":[{"id":"https://openalex.org/I4210153145","display_name":"National Cancer Institute","ror":"https://ror.org/04w2jh416","country_code":"LT","type":"healthcare","lineage":["https://openalex.org/I4210153145"]}],"countries":["LT"],"is_corresponding":false,"raw_author_name":"Audrius Dulskas","raw_affiliation_strings":["Department of Abdominal and General Surgery and Oncology, National Cancer Institute, 1 Santariskiu Str., Vilnius LT - 08660, Lithuania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Abdominal and General Surgery and Oncology, National Cancer Institute, 1 Santariskiu Str., Vilnius LT - 08660, Lithuania","institution_ids":["https://openalex.org/I4210153145"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002037468","display_name":"Edgaras Smolskas","orcid":"https://orcid.org/0000-0002-4035-8707","observed_orcids":["https://orcid.org/0000-0002-4035-8707"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Edgaras Smolskas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005893889","display_name":"Inga Kildu\u0161ien\u0117","orcid":"https://orcid.org/0000-0002-9641-6523","observed_orcids":["https://orcid.org/0000-0002-9641-6523"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Inga Kildusiene","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082254105","display_name":"Romualdas Maskelis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Romualdas Maskelis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088211227","display_name":"Eugenijus Stratilatovas","orcid":"https://orcid.org/0000-0001-5896-3393","observed_orcids":["https://orcid.org/0000-0001-5896-3393"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Eugenijus Stratilatovas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077324596","display_name":"Povilas Miliauskas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Povilas Miliauskas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044722169","display_name":"Renatas Tikui\u0161is","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Renatas Tikuisis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5048096603","display_name":"Narimantas Evaldas Samalavi\u010dius","orcid":"https://orcid.org/0000-0003-4955-2407","observed_orcids":["https://orcid.org/0000-0003-4955-2407"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Narimantas Samalavicius","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4694,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.61698073,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"24","issue":"2","first_page":"431","last_page":"435"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.34769999980926514,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.34769999980926514,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.30079999566078186,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10335","display_name":"Colorectal Cancer Surgical Treatments","score":0.10040000081062317,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/iatrogenic-colonic-perforation","display_name":"iatrogenic colonic perforation","score":0.984000027179718},{"id":"https://openalex.org/keywords/colonoscopy-complications","display_name":"colonoscopy complications","score":0.9869999885559082},{"id":"https://openalex.org/keywords/surgical-management","display_name":"surgical management","score":0.7379999756813049},{"id":"https://openalex.org/keywords/postoperative-morbidity","display_name":"postoperative morbidity","score":0.7179999947547913},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.9559999704360962},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.8510000109672546},{"id":"https://openalex.org/keywords/sigmoid-colon-perforation","display_name":"sigmoid colon perforation","score":0.7900000214576721},{"id":"https://openalex.org/keywords/perforation-rate","display_name":"perforation rate","score":0.6309999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.942551851272583},{"id":"https://openalex.org/C2778456384","wikidata":"https://www.wikidata.org/wiki/Q1508510","display_name":"Perforation","level":3,"score":0.7629427909851074},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.7082529664039612},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6245236992835999},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.5945641398429871},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.564403772354126},{"id":"https://openalex.org/C2777327002","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Fibrous joint","level":2,"score":0.5395097136497498},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5188214182853699},{"id":"https://openalex.org/C2776870353","wikidata":"https://www.wikidata.org/wiki/Q677253","display_name":"Sigmoid colon","level":3,"score":0.5072605013847351},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.40144672989845276},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3887333869934082},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.19825056195259094},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.19071415066719055},{"id":"https://openalex.org/C2781074409","wikidata":"https://www.wikidata.org/wiki/Q158716","display_name":"Rectum","level":2,"score":0.12256720662117004},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","level":0,"score":0.0},{"id":"https://openalex.org/C191897082","wikidata":"https://www.wikidata.org/wiki/Q11467","display_name":"Metallurgy","level":1,"score":0.0},{"id":"https://openalex.org/C2778527123","wikidata":"https://www.wikidata.org/wiki/Q11750728","display_name":"Punching","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000714","descriptor_name":"Anastomosis, Surgical","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D003106","descriptor_name":"Colon","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D003106","descriptor_name":"Colon","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D003108","descriptor_name":"Colonic Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D003108","descriptor_name":"Colonic Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D003108","descriptor_name":"Colonic Diseases","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D003108","descriptor_name":"Colonic Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D003113","descriptor_name":"Colonoscopy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D007416","descriptor_name":"Intestinal Perforation","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007416","descriptor_name":"Intestinal Perforation","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D007416","descriptor_name":"Intestinal Perforation","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:31127987","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31127987","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of B.U.ON. : official journal of the Balkan Union of Oncology","raw_type":"Journal Article"},{"id":"mag:2995686089","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31127987","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2608942515","https://openalex.org/W2090673962","https://openalex.org/W2188511733","https://openalex.org/W2280021958","https://openalex.org/W2135141682","https://openalex.org/W2944948776","https://openalex.org/W2005675882","https://openalex.org/W109128486","https://openalex.org/W2146234997","https://openalex.org/W2053946926"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"assess":[2],"outcomes":[3],"of":[4,14,23,55,66,126,146,149],"surgical":[5,79],"management":[6],"for":[7,158],"iatrogenic":[8],"colonic":[9,26],"perforations":[10,27,45],"and":[11,47,96,105,110,135],"risk":[12,156],"factors":[13,157],"worse":[15,159],"outcome.":[16,48],"METHODS:":[17],"We":[18,38,151],"reviewed":[19],"the":[20,34,69,147],"medical":[21],"records":[22],"patients":[24,114],"with":[25,91],"during":[28],"colonoscopies":[29],"2007":[30],"-":[31,86,94,112],"2016":[32],"at":[33],"National":[35],"Cancer":[36],"Institute.":[37],"collected":[39],"patient":[40,132],"demographic":[41],"data,":[42],"colonoscopic":[43],"reports,":[44],"treatment":[46],"RESULTS:":[49],"Perforation":[50],"rate":[51],"was":[52,68,81],"0.14%":[53],"(23":[54],"16":[56],"186).":[57],"Twenty":[58],"were":[59,108,138],"managed":[60],"surgically.":[61],"The":[62,76],"most":[63,77],"common":[64],"location":[65],"perforation":[67],"sigmoid":[70],"colon":[71],"in":[72,99],"12":[73],"cases":[74,85,101],"(60%).":[75],"used":[78],"technique":[80],"simple":[82],"suture":[83],"(11":[84],"55%),":[87],"followed":[88],"by":[89],"resection":[90],"anastomosis":[92],"(6":[93],"30%),":[95],"Hartman's":[97],"procedure":[98],"3":[100],"(15%).":[102],"Postoperative":[103],"morbidity":[104],"mortality":[106],"rates":[107],"45%":[109],"15%":[111],"three":[113],"died.":[115],"No":[116],"significant":[117],"relationship":[118],"between":[119],"time":[120],"to":[121,143],"surgery":[122],"(p=0.285),":[123],"American":[124],"Society":[125],"Anaesthesiologists":[127],"(ASA)":[128],"score":[129],"(p=0.642)":[130],"or":[131],"age":[133],"(p=0.964)":[134],"postoperative":[136],"complication":[137],"found.":[139],"CONCLUSIONS:":[140],"Patients":[141],"need":[142],"be":[144],"informed":[145],"complications":[148],"colonoscopy.":[150],"could":[152],"not":[153],"determine":[154],"strong":[155],"outcomes.":[160]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-12-26T00:00:00"}
