Perforation due to ERCP |
| |
Affiliation: | 1. Division of Interventional Radiology, Department of Radiology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts;2. Department of Interventional Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts |
| |
Abstract: | Iatrogenic duodenal and pancreaticobiliary perforations associated with endoscopic retrograde cholangiopancreatography (ERCP) are rare but associated with a significant morbidity and mortality. Perforations can be caused by the endoscope itself, secondary to endoscopic sphincterotomy, or related to the use of accessories (guidewires and stents). There is no consensus to direct the clinician on proper management of ERCP-related perforation. Traditionally perforations were classified according to their etiology and anatomical site and managed accordingly. Recently, the time to diagnosis, clinical state of the patient, and results of imaging studies have been shown to better predict the need for surgical intervention. This review summarizes perforations related to ERCP, with an emphasis on the criteria to determine if medical or surgical intervention is the appropriate management strategy. |
| |
Keywords: | Perforation Endoscopic retrograde Cholangiopancreatography Sphincterotomy Pyloric exclusion |
本文献已被 ScienceDirect 等数据库收录! |
|