Selected treatments for duodenal perforation after ERCP. A report of three cases.
Perforation is one of the most serious complications of endoscopic sphincterotomy. In the last decade, the management has shifted towards a more selective approach. Three cases are reported here involving three different treatments. In one case, the patient was submitted to a surgical procedure, while a conservative strategy was preferred in the other two, consisting in a naso-biliary drain and endoscopic clip placement, respectively. In this way, the safety of surgical and nonsurgical management of ERCP-related duodenal perforations was tested.
UOC Chirurgia Generale, Ospedale Belcolle, Viterbo.
Pietro Maria
PM
Amodio
Roberto
R
Faggiani
Alfredo
A
Pastorelli
Eugenio
E
Bigonzoni
Sabrina
S
Consolo
Vincenzo
V
Bruni
Angelo
A
Goglia
Emanuele
E
Piccioni
Maurizio
M
Piciollo
Marcello
M
Anti
Raffaele Macarone
RM
Palmieri
D000328:Adult; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D004386:Duodenum / Q000293:injuries*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000628:therapy*; D008875:Middle Aged