How likely is an intestinal wall perforation repairable?

Intestinal breakthrough

Different clinical pictures can injure the intestinal wall and cause a hole in the intestine. Above all, this includes inflammatory bowel disease, as the inflammation damages the intestinal tissues. The most common are:

  • Appendicitis: Inflammation of the appendix
  • Ulcerative colitis: chronic inflammation of the large intestine, causing ulcers (ulcers)
  • Crohn's disease: chronic inflammation of the intestinal lining and deeper intestinal layers, mostly at the end of the small intestine and the beginning of the large intestine
  • Diverticulitis: Inflammation of protrusions (diverticula) of the intestinal wall

Also Tumors or a Intestinal obstruction can trigger an intestinal rupture. In addition, you can Accidents and acts of violence cause a bowel perforation:

  • Impact in a traffic accident
  • Swallowed object
  • Object introduced through the anus
  • Gunshot or stab wounds

During a colonoscopy, the examination device can injure the intestinal wall. However, intestinal perforation after a screening colonoscopy is very rare. The risk is around 0.1 to 1 percent.

Surgery is also a rare but possible cause. A hole in the intestine after an operation occurs, for example, when seams on the intestinal wall loosen. This happens in around 5 to 15 percent of operations on the colon. It is very rare for the surgeon to injure the bowel during surgery. The risk is 1 to 2 percent.

Anyone who smokes or drinks a lot of alcohol increases the likelihood of having a perforated bowel.