The Management of Perforation after Endoscopic retrograde cholangiopancreatography (ERCP).

Tavusbay, Cengiz; Alper, Emrah; Gokova, Melek Bekler; Kamer, Erdinç; Kar, Haldun; Atahan, Kemal; Özşay, Oğuzhan; Gur, Ozlem; Cin, Necat; Capkinoglu, Emir; Durak, Evren

doi:10.5505/tjtes.2016.42247

Cited by 15 publications

(22 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Iatrogenic perforation during ERC varies from 0.01 to 2.1% and is associated with considerable morbidity [3,4]. Stapfer et al have classified iatrogenic endoscopic perforations into four types depending on the radiological association [5].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Emergency Pancreatoduodenectomy for Ampullary Cancer Post-Iatrogenic Duodenal Perforation: No Option but to Strike

Varshney¹,

Nayar²,

Sreesanth³

et al. 2020

Cureus

View full text Add to dashboard Cite

Endoscopic retrograde cholangiography related duodenal perforation is an infrequent complication and associated with significant morbidity. The management of such perforations, especially in the setting of malignancy, is not standardized given the paucity of literature. We encountered a patient who was diagnosed with periampullary carcinoma and had a perforation in the duodenum during endoscopy. Emergency pancreatoduodenectomy (EPD) was performed considering it to be a resectable disease with minimal contamination. He had a prolonged hospital course due to surgical site infection and hepaticojejunostomy leak, however, which was managed successfully. At one year follow up, he is healthy with no evidence of recurrence. We conclude that EPD can be attempted for selected iatrogenic duodenal perforations with co-existent resectable malignancy in a stable patient. It may help to avoid the morbidity of a second surgery in the setting of a distorted anatomy and simultaneously preventing the probable upstaging of disease due to peritoneal seedling.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Recently, endoscopic methods have been proposed to treat these inadvertent EP including the use of endoscopic clips and fibrin glue, however, they are being used at selected centers and are contraindicated in large perforations and unstable patients [4].…”

Section: Discussionmentioning

confidence: 99%

Emergency Pancreatoduodenectomy for Ampullary Cancer Post-Iatrogenic Duodenal Perforation: No Option but to Strike

Varshney¹,

Nayar²,

Sreesanth³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Las principales complicaciones de la CPRE son: pancreatitis aguda (3,5%), sangrado (1,3%), perforación (0,01%-2,1%) y colangitis (<1%) (1,2). La perforación tiene un riesgo de mortalidad de 0,1-1%, pero, si hay retraso en el diagnóstico, puede ser hasta del 8-23% (3,4).…”

Section: Introductionunclassified

Perforación duodenal post-colangiopancreatografía endoscópica retrógrada.

et al. 2019

View full text Add to dashboard Cite

Resumen La perforación duodenal secundaria a la colangiopancreatografía retrógrada endoscópica (CPRE) es una complicación infrecuente que sucede en un 0,01-2,1 % de los casos. El manejo terapéutico, sea conservador o quirúrgico, depende de varios factores. Presentamos el caso de una mujer que sufrió una perforación duodenal post-CPRE que se trató de manera mini-invasiva con abordaje laparoscópico y drenaje transparietal bajo imagen, evitando el tratamiento quirúrgico tradicional laparotómico.

show abstract

“…Las principales complicaciones de la CPRE son: pancreatitis aguda (3,5%), sangrado (1,3%), perforación (0,01%-2,1%) y colangitis (<1%) (1,2,3). La perforación tiene un riesgo de mortalidad de 0,1%-1% (4,5), pero, si hay retraso en el diagnóstico, puede ser hasta del 8%-23% (5,6).…”

Section: Introductionunclassified

Perforación duodenal pos-CPRE de manejo no quirúrgico: reporte de un caso

M¹,

P²,

et al. 2017

Rev. Colomb. Gastroenterol.

View full text Add to dashboard Cite

La perforación duodenal posterior a la colangiopancreatografía endoscópica (CPRE) es una complicación infrecuente que sucede en un 0.1-0.6% de los casos. El manejo (quirúrgico o no quirúrgico) depende de varios factores. Presentamos el caso de una mujer que sufrió una perforación duodenal pos-CPRE manejada conservadoramente con un stent biliar metálico autoexpandible (SMAE) totalmente recubierto y antibióticos, quien no requirió manejo quirúrgico.

show abstract

The Management of Perforation after Endoscopic retrograde cholangiopancreatography (ERCP).

Cited by 15 publications

References 23 publications

Emergency Pancreatoduodenectomy for Ampullary Cancer Post-Iatrogenic Duodenal Perforation: No Option but to Strike

Emergency Pancreatoduodenectomy for Ampullary Cancer Post-Iatrogenic Duodenal Perforation: No Option but to Strike

Perforación duodenal post-colangiopancreatografía endoscópica retrógrada.

Perforación duodenal pos-CPRE de manejo no quirúrgico: reporte de un caso

Contact Info

Product

Resources

About