Early Management Experience of Perforation after ERCP
Joint Authors
Li, Guohua
Lv, Nonghua
Zhou, Xiaojiang
Chen, Youxiang
Source
Gastroenterology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-26
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background and Aim.
Perforation after endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication, but it is associated with significant mortality.
This study evaluated the early management experience of these perforations.
Patients and Methods.
Between November 2003 and December 2011, a total of 8504 ERCPs were performed at our regional endoscopy center.
Sixteen perforations (0.45%) were identified and retrospectively reviewed.
Results.
Nine of these 16 patients with perforations were periampullary, 3 duodenal, 1 gastric fundus, and 3 patients had a perforation of an afferent limb of a Billroth II anastomosis.
All patients with perforations were recognized during ERCP by X-ray and managed immediately.
One patient with duodenal perforation and three patients with afferent limb perforation received surgery, others received medical conservative treatment which included suturing lesion, endoscopic nasobiliary drainage (ENBD), endoscopic retrograde pancreatic duct drainage (ERPD), gastrointestinal decompression, fasting, broad-spectrum antibiotics, and so on.
All patients with perforation recovered successfully.
Conclusions.
We found that: (1) the diagnosis of perforation during ERCP may be easy, but you must pay attention to it.
(2) Most retroperitoneal perforations can recover with only medical conservative treatment in early phase.
(3) Most peritoneal perforations need surgery unless you can close the lesion up under endoscopy in early phase.
American Psychological Association (APA)
Li, Guohua& Chen, Youxiang& Zhou, Xiaojiang& Lv, Nonghua. 2012. Early Management Experience of Perforation after ERCP. Gastroenterology Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-488800
Modern Language Association (MLA)
Li, Guohua…[et al.]. Early Management Experience of Perforation after ERCP. Gastroenterology Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-488800
American Medical Association (AMA)
Li, Guohua& Chen, Youxiang& Zhou, Xiaojiang& Lv, Nonghua. Early Management Experience of Perforation after ERCP. Gastroenterology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-488800
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-488800