**5. Contraindications to endoscopic procedure**

*Absolute:* toxic megacolon, suspect of intestinal perforation, shock [3]

*Relative*: hyperacute situations with associated risk of severe complications such as perforation and abundant bleeding.

The risk of complications is equal to 0.3% per procedure and decreases to 0.05% in the absence of polipectomy [4].

Conservative therapy is used in cases of asymptomatic perforations or in localized peritonitis, in the absence of signs and symptoms of sepsis. In any more severe situations, the operating approach consists in the resection of the intestinal segment and anastomosis [4-5].

Splenyc rupture is a very rare complication, that manifests with hypovolemia, pain at the shoulder or abdominal pain appearing within 24 hours after the performance of ileumcolonoscopy.

Equally rare is also pancreatitis caused by the rupture of the pancreas within the procedure [4-5].
