title: [A case of duodenal perforation caused by biliary plastic stent treated with approximation using endoclip and detachable snare].
abstract: Endoscopic retrograde biliary drainage (ERBD) is useful for the palliative decompression of biliary obstruction. However, the complications of ERBD include cholangitis, hemorrhage, acute pancreatitis, obstruction of the stent, and duodenal perforation. Pressure necrosis on the duodenal mucosa by the stent may contribute to perforation. Although duodenal perforation following ERBD is very rare compared to other complications, it can result in a fatal outcome. Recent reports describe nonsurgical treatment for small gastrointestinal perforation with localized peritonitis and suggest that endoclipping may be appropriate in the management of a well selected group of patients with iatrogenic perforation. We describe a case of duodenal perforation secondary to ERBD that was successfully treated with approximating using endoclip and detachable snare.
authors.affiliation: Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea.
authors.forename: Hyung Seok
authors.initials: HS
authors.lastname: Nam
authors.forename: Gwang Ha
authors.initials: GH
authors.lastname: Kim
authors.forename: Dong Uk
authors.initials: DU
authors.lastname: Kim
authors.forename: Mun Ki
authors.initials: MK
authors.lastname: Choi
authors.forename: Yang Seon
authors.initials: YS
authors.lastname: Yi
authors.forename: Jong Min
authors.initials: JM
authors.lastname: Hwang
authors.forename: Suk
authors.initials: S
authors.lastname: Kim
mesh_terms: D017734:Bile Ducts, Extrahepatic; D001660:Biliary Tract Diseases / Q000150:complications / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005260:Female; D005706:Gallbladder Neoplasms / Q000175:diagnosis; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D010969:Plastics; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D010969:Plastics