Hawkins AT, et al. – Systematical review of the currently available literature concerning care and outcomes of colonic perforation was performed. An algorithm was created to guide the practitioner in management of this challenging clinical scenario. Researchers identified a higher rate of perforation from therapeutic colonoscopy in comparison to diagnostic colonoscopy and the sigmoid was the most common site of perforation. Mortality seemed related to pre–existing conditions. They suggest managing patients according to the patient's comorbidities and clinical status as well as the specific conditions during the colonoscopy that led to the perforation.