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ERCP duodenal perforation

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13 papers 100 to 500 followers
https://www.readbyqxmd.com/read/18333093/management-of-perforation-after-endoscopic-retrograde-cholangiopancreatography-ercp-a-population-based-review
#1
Hao M Wu, Elijah Dixon, Gary R May, Francis R Sutherland
BACKGROUND: Perforation related to endoscopic retrograde cholangiopancreatography (ERCP) is a rare complication associated with significant morbidity and mortality. This study evaluated the management and outcomes of these perforations. PATIENTS AND METHODS: Between July 1996 and December 2002, a total of 6620 ERCPs were performed at our regional endoscopy unit serving the 1.5 million population of Southern Alberta. Thirty perforations (0.45%) were identified and retrospectively reviewed...
2006: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/11932784/ercp-related-perforations-risk-factors-and-management
#2
COMPARATIVE STUDY
R Enns, M A Eloubeidi, K Mergener, P S Jowell, M S Branch, T M Pappas, J Baillie
BACKGROUND AND STUDY AIMS: Perforations during endoscopic retrograde cholangiopancreatography (ERCP) are rare, and the management of these perforations is variable, with some patients requiring immediate surgery and others only conservative management. We reviewed all ERCP-related perforations at our institution to determine: a) their incidence; b) clinical outcomes; c) which management approaches gave the best results; and d) which factors predict a perforation. PATIENTS AND METHODS: All patients who underwent ERCP and suffered perforation were reviewed...
April 2002: Endoscopy
https://www.readbyqxmd.com/read/18803511/duodenal-perforations-after-endoscopic-retrograde-cholangiopancreatography-experience-and-management
#3
Zhihai Mao, Qianlin Zhu, Weize Wu, Mingliang Wang, Jianwen Li, Aiguo Lu, Yanjun Sun, Minhua Zheng
OBJECTIVE: The aim of this study was to summary the experiences and lessons from periduodenal perforations related to endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST). METHODS: A retrospective review from 2004 to 2007 identified 9 patients (0.37%) of periduodenal perforation related to ERCP/EST. Charts were reviewed for the following parameters: clinical presentation of patients, ERCP findings, diagnostic methods, treatment (surgical or conservative procedures), complications, and outcome...
October 2008: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/10520912/classification-and-management-of-perforations-complicating-endoscopic-sphincterotomy
#4
T J Howard, T Tan, G A Lehman, S Sherman, J A Madura, E Fogel, M L Swack, K K Kopecky
BACKGROUND: The management of perforations after endoscopic sphincterotomy (ES) is controversial. The purpose of this study was to analyze the treatments and outcome of patients with ES perforations. METHODS: Between January 1994 and July 1998, in a series of 6040 endoscopic retrograde cholangiopancreatographies, 2874 (48%) ESs were performed: 40 patients (0.6%) with perforation were identified and retrospectively reviewed. RESULTS: All patients (n = 14) with guidewire perforation (group I) were recognized early, managed medically, and discharged after a mean hospital stay of 3...
October 1999: Surgery
https://www.readbyqxmd.com/read/25133122/the-management-of-endoscopic-retrograde-cholangiopancreatography-related-duodenal-perforation
#5
REVIEW
Kwang Bum Cho
Uneventful duodenal perforation during endoscopic retrograde cholangiopancreatography (ERCP) is an uncommon but occasionally fatal complication. ERCP-related perforations may occur during sphincterotomy and improper manipulation of the equipment and scope. Traditionally, duodenal perforation has been treated with early surgical repair. Recently, nonoperative early endoscopic management techniques including clips or fibrin glue have been reported. In the present paper we review the literature pertaining to the treatment of perforations...
July 2014: Clinical Endoscopy
https://www.readbyqxmd.com/read/24719597/complications-of-endoscopic-retrograde-cholangiopancreatography-how-to-avoid-and-manage-them
#6
Nicholas M Szary, Firas H Al-Kawas
Endoscopic retrograde cholangiopancreatography (ERCP) is a therapeutic procedure used to treat problems associated with biliary and pancreatic diseases. The benefits of ERCP over surgical treatment are well documented; however, complications including infection, pancreatitis, hemorrhage, and perforation can occur even in expert hands. Several factors, such as patient selection, skill of the operator, and the complexity of the procedure, can add to the intrinsic risks of ERCP This review outlines the current knowledge regarding ERCP complications and solutions for improved outcomes...
August 2013: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/23870391/perforations-following-endoscopic-retrograde-cholangiopancreatography-a-single-institution-experience-and-surgical-recommendations
#7
Rafi Miller, Andrew Zbar, Yoram Klein, Victor Buyeviz, Ehud Melzer, Bruce N Mosenkis, Eli Mavor
BACKGROUND: Perforation after endoscopic retrograde cholangiopancreatography (ERCP) is uncommon, and its management is dependent on the mechanism and the graded classification of injury. METHODS: Records of patients undergoing ERCP were analyzed over a 16-year period, patterning the types of injuries, diagnosis, management, and patient outcome. Type I injuries damage the medial or lateral duodenal wall before sphincter cannulation. Type II injuries are periampullary and occur as a result of a precut or a papillotomy...
August 2013: American Journal of Surgery
https://www.readbyqxmd.com/read/23676815/operative-and-non-operative-management-of-endoscopic-retrograde-cholangiopancreatography-associated-duodenal-injuries
#8
M Ezzedien Rabie, N H Mir, M S Al Skaini, I El Hakeem, A Hadad, H Ageely, A N Shaban, M Obaid, A M Hummadi
INTRODUCTION: Endoscopic retrograde cholangiopancreatography (ERCP) is indispensable in everyday surgical practice. Despite this, as an invasive procedure, it has its own mortality and morbidity, the most feared of which is periduodenal perforations. Our experience with ERCP related periduodenal perforations and its treatment strategies are presented. Additionally, a rarely encountered subtype is highlighted. METHODS: Patients who underwent ERCP and sustained a periduodenal perforation between August 2008 and October 2011 were reviewed...
May 2013: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/22066121/management-of-endoscopic-retrograde-cholangiopancreatography-related-perforations
#9
Byung Seup Kim, In-Gyu Kim, Byoung Yoon Ryu, Jong Hyeok Kim, Kyo Sang Yoo, Gwang Ho Baik, Jin Bong Kim, Jang Yong Jeon
PURPOSE: The purpose of this study is to analyze the treatment strategies of patients with endoscopic retrograde cholangiopancreatography (ERCP)-related perforations. This is a retrospective study. METHODS: We experienced 13 perforations associated with ERCP. We reviewed the medical recordsand classified ERCP-related perforations according to mechanism of injury in terms of perforating device. Injury by endoscopic tip or insertion tube was classified as type I, injury by cannulation catheter or sphincterotomy knife as type II, and injury by guidewire as type III...
September 2011: Journal of the Korean Surgical Society
https://www.readbyqxmd.com/read/22005896/a-tailored-approach-to-the-management-of-perforations-following-endoscopic-retrograde-cholangiopancreatography-and-sphincterotomy
#10
Andreas Polydorou, Antonios Vezakis, Georgios Fragulidis, Demetrios Katsarelias, Constantinos Vagianos, Georgios Polymeneas
BACKGROUND: The management of endoscopic retrograde cholangiopancreatography (ERCP)-related perforations remains controversial. Τhe aim of the study was to determine the incidence of perforations following ERCP, their characteristics, operative and non-operative management options and clinical outcome. METHODS: A retrospective review of ERCP-related perforations, during a 21-year period, was performed. Each perforation was categorized into types I to IV according to the location, mechanism and radiographic evaluation of the injury...
December 2011: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/21060708/massive-subcutaneus-emphysema-following-endoscopic-retrograde-cholangiopancreatography-with-sphincterotomy
#11
Michail Papamichail, Nicolas Nikolaidis, Elina Anastasiou, George Sidirokastritis, Panagiotis Prigouris
Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective procedure for the diagnosis and treatment of the pancreatic and extrahepatic biliary tract diseases, it is still related with several complications. A female patient who underwent an ERCP with sphincterotomy developed massive subcutaneous emphysema along with pneumomediastinum and pneumoperitoneum. Although mild respiratory distress occurred, based on the absence of intaabdominal leakage of gastrografin, the patient was managed conservatively...
2010: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/19545095/endoscopic-retrograde-cholangiopancreatography-gut-perforations-when-to-wait-when-to-operate
#12
Katherine A Morgan, Bennett B Fontenot, Jean M Ruddy, Suzanne Mickey, David B Adams
Most perforations of the gastrointestinal tract during endoscopic retrograde cholangiopancreatography (ERCP) can be managed nonoperatively. Identifying patients who require operative management is problematic. A clinical endoscopy database was queried for patients who sustained ERCP perforation over a 13-year period. Records were reviewed and analyzed with approval of the Institutional Review Board. During the study period, 12,817 patients underwent ERCP; 24 (0.2%) had an endoscopic perforation. Twelve patients had a retroperitoneal perforation during sphincterotomy and all were successfully managed nonoperatively...
June 2009: American Surgeon
https://www.readbyqxmd.com/read/10903596/management-of-duodenal-perforation-after-endoscopic-retrograde-cholangiopancreatography-and-sphincterotomy
#13
M Stapfer, R R Selby, S C Stain, N Katkhouda, D Parekh, N Jabbour, D Garry
OBJECTIVE: To evaluate the authors' experience with periduodenal perforations to define a systematic management approach. SUMMARY BACKGROUND DATA: Traditionally, traumatic and atraumatic duodenal perforations have been managed surgically; however, in the last decade, management has shifted toward a more selective approach. Some authors advocate routine nonsurgical management, but the reported death rate of medical treatment failures is almost 50%. Others advocate mandatory surgical exploration...
August 2000: Annals of Surgery
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