Systematic Reviews
Copyright ©The Author(s) 2020.
World J Gastrointest Surg. Feb 27, 2020; 12(2): 55-67
Published online Feb 27, 2020. doi: 10.4240/wjgs.v12.i2.55
Table 1 Details of case reports and Clavein-Dindo Classification of Post-Operative complication (computed tomography)
Ref.AgeSexReason for colonoscopyType of injuryDiagnosisManagementClavein-Dindo classification of Post-Operative complication
Keeven et al[7]52MaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Suliman et al[8]59FemaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Diéguez Castillo et al[9]53FemaleBleedingSplenic ruptureCTLaparotomy/splenectomyGrade III
Zhang et al[11]63FemaleWeight LossSplenic injury/hematomaCTConservative managementGrade I
Chime et al[12]51FemaleScreeningSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Ungprasert et al[13]59MaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Laiz Díez et al[14]40FemaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Laiz Díez et al[14]80FemaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Barbeiro et al[15]73FemaleBleedingSplenic ruptureCTLaparotomy/splenectomyGrade III
Li et al[16]65FemaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Nallayici et al[17]71MaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Pavlidis et al[19]74MaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Steele et al[20]60FemaleScreeningSplenic ruptureCTConservative managementGrade I
Ozogul et al[21]69FemalePolypectomySplenic injury/hematomaCTConservative managementGrade I
Mccarty et al[24]71MaleBleedingSplenic injury/hematomaCTConservative managementGrade I
Jehangir et al[22]76FemaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Zappa et al[26]73MaleAbdominal painSplenic injury/hematomaCTLaparotomy/ splenectomyGrade III
Lahat et al[4]61MaleScreeningSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Lahat et al[4]68MaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Lahat et al[4]85FemalePolypectomySplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Lahat et al[4]54MalePolypectomySplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Lahat et al[4]65MaleScreeningSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Lahat et al[4]59MalePolypectomySplenic injury/hematomaCTLaparoscopyGrade III
Mulkerin et al[27]NANAScreeningSplenic injury/hematomaCTLaparoscopyGrade III
García García et al[28]58FemaleScreeningSplenic injury/hematomaCTLaparoscopyGrade III
Sbai et al[29]70MaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Ng et al[31]63FemaleScreeningSplenic injury/hematomaCT-AngiogramConservative managementGrade I
Mazulis et al[32]88FemaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Kapur et al[33]76FemaleBleedingSplenic ruptureCTLaparotomy/splenectomyGrade III
Han et al[34]77MalePolypectomySplenic ruptureCTLaparotomy/splenectomyGrade III
Brennan et al[38]75FemaleScreeningSplenic injury/hematomaCTProximal splenic artery embolizationGrade III
Herreros de Tejada et al[39]65FemaleSubmucosal Dissection of tumorSplenic ruptureCTLaparotomy/splenectomyGrade III
Lauretta et al[40]61MaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Jamorabo et al[42]63MaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Guner et al[44]53MaleAbdominal PainSplenic injury/hematomaCTBed rest, blood transfusion, observationGrade II
McBride et al[45]64FemaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Rex et al[46]68FemaleNANACTConservative managementGrade I
Rex et al[46]52FemalePolypectomySplenic injury/hematomaCTConservative managementGrade I
Rex et al[46]61FemaleNANACTConservative managementGrade I
Rex et al[46]58FemaleNANACTConservative managementGrade I
Rex et al[46]74FemaleNANACTConservative managementGrade I
Rex et al[46]85FemaleNANACTConservative managementGrade I
Chow et al[47]84FemaleBleedingSplenic injury/hematomaCTFluids/blood/splenic artery embolizationGrade III
Pineda et al[48]62FemaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Corcillo et al[49]66MaleBleedingSplenic ruptureCTProximal splenic artery embolizationGrade III
Corcillo et al[49]77FemalePolypectomySplenic ruptureCTProximal splenic artery embolizationGrade III
Abunnaja et al[50]62FemaleScreeningSplenic injury/hematomaCTRingers lactate, blood, splenectomy, vaccinationsGrade II
González-Soler et al[51]67MaleScreeningSplenic ruptureCTLaparotomy/splenectomyGrade III
Seifman et al[52]41FemaleScreeningSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Singla et al[54]NANAScreeningNACTNANA
Shankar et al[56]47FemaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Fishback et al[58]64FemaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Fishback et al[58]59FemaleBleedingSplenic injury/hematomaCTConservative managementGrade I
Fishback et al[58]55FemaleBleedingSplenic injury/hematomaCTLaparotomy/ splenectomyGrade III
Fishback et al[58]65MalePolypectomyNACTLaparotomy/splenectomyGrade III
Fishback et al[58]56FemaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Fishback et al[58]51FemaleScreeningSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Fishback et al[58]54FemaleScreeningSplenic injury/hematomaCTConservative managementGrade I
Fishback et al[58]68FemaleScreeningSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Fishback et al[58]84FemaleBleedingSplenic injury/hematomaCTConservative managementGrade I
Fishback et al[58]64MaleBleedingSplenic injury/hematomaCTConservative managementGrade I
Fishback et al[58]64MaleScreeningSplenic injury/hematomaCTProximal splenic artery embolization/splenectomyGrade III
Bertoglio et al[59]70MaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Sachdev et al[61]68FemaleBleedingSplenic injury/hematomaCTLaparotomy/splenectomyGrade III
Meier et al[62]68FemaleBleedingNACTLaparotomy/splenectomyGrade III
Table 2 Reason for colonoscopy and types of injury
FrequencyValid percentColonoscopy reasonFrequencyValid percent
Gender
Male2335.9Screening3145.6
Female4164.1Bleeding1927.9
InjuryPolypectomy913.2
Rupture1522Abdominal pain22.9
Injury4363.2Weight loss11.5
Table 3 Presentation, diagnosis and management of splenic injury
PresentationDiagnosis and outcomeManagement
FemalePercent (%)FemalePercent (%)FemalePercent (%)
Abdominal pain5987CT6798.5Laparotomy3247.1
Syncope46CTPA11.5PSAE45.9
Dizziness35Survived5276.5Conservative2638.2
Chest pain11.5Died710.3Laparoscopy34.4
Table 4 Likelihood ratios for different comparisons
ComparisonValuedfP value
Abdominal pain and colonoscopy2.2040.69
Spleen Injury and colonoscopy2.3740.66
Splenectomy and colonoscopy6.4120.89
Splenorrhaphy and colonoscopy6.8120.91
Outcome and screening colonoscopy3.1740.52
Outcome and diagnostic colonoscopy3.2140.61
Table 5 Likelihood ratios and Fisher’s test for different comparisons
ComparisonValuedfP value
Splenectomy and spleen rupture (Likelihood ratio)8.130.04
Mortality and spleen rupture (Fisher’s test)4.810.028