Primary endoscopic approximation suture under cap-assisted endoscopy of an ERCP-induced duodenal perforation
Primary endoscopic approximation suture under cap-assisted endoscopy of an ERCP-induced duodenal perforation作者机构：Division of GastroenterologyDepartment of Internal MedicineSoon Chun Hyang University College of MedicineCheonan Hospital Division of GastroenterologyDepartment of Internal MedicineInha University School of Medicine Division of GastroenterologyDepartment of Internal MedicineChungbuk National University College of Medicine
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2010年第16卷第18期
页 面：2305-2310页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Duodenal perforation Endoscopic retrograde cholangiopancreatography Endoscopic therapy Endoclip
摘 要：Duodenal perforation during endoscopic retrograde cholangiopancreatography(ERCP) is a rare complication,but it has a relatively high mortality *** diagnosis and prompt management are key factors for the successful treatment of ERCP-related *** management of perforation can initially be conservative in cases resulting from sphincterotomy or guide wire ***,the current standard treatment for duodenal free wall perforation is surgical ***,several case reports of endoscopic closure techniques using endoclips,endoloops,or fully covered metal stents have been *** describe four cases of iatrogenic duodenal bulb or lateral wall perforation caused by the scope tip that occurred during ERCP in tertiary referral *** the cases were simply managed by endoclips under transparent capassisted *** on the available evidence and our experience,endoscopic closure was a safe and feasible method even for duodenoscope-induced *** results suggest that endoscopists may be more willing to use this treatment.
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