Primary endoscopic approximation suture under cap-assisted endoscopy of an ERCP-induced duodenal perforation  

作　　者：Tae Hoon Lee Byoung Wook Bang Jee In Jeong Hyung Gil Kim Seok Jeong Seon Mee Park Don Haeng Lee Sang-Heum Park Sun-Joo Kim 

机构地区：[1]Division of Gastroenterology,Department of Internal Medicine,Soon Chun Hyang University College of Medicine,Cheonan Hospital [2]Division of Gastroenterology,Department of Internal Medicine,Inha University School of Medicine [3]Division of Gastroenterology,Department of Internal Medicine,Chungbuk National University College of Medicine

出　　处：《World Journal of Gastroenterology》2010年第18期2305-2310,共6页世界胃肠病学杂志（英文版）

摘　　要：Duodenal perforation during endoscopic retrograde cholangiopancreatography(ERCP) is a rare complication,but it has a relatively high mortality risk.Early diagnosis and prompt management are key factors for the successful treatment of ERCP-related perforation.The management of perforation can initially be conservative in cases resulting from sphincterotomy or guide wire trauma.However,the current standard treatment for duodenal free wall perforation is surgical repair.Recently,several case reports of endoscopic closure techniques using endoclips,endoloops,or fully covered metal stents have been described.We describe four cases of iatrogenic duodenal bulb or lateral wall perforation caused by the scope tip that occurred during ERCP in tertiary referral centers.All the cases were simply managed by endoclips under transparent capassisted endoscopy.Based on the available evidence and our experience,endoscopic closure was a safe and feasible method even for duodenoscope-induced perforations.Our results suggest that endoscopists may be more willing to use this treatment.Duodenal perforation during endoscopic retrograde cholangiopancreatography(ERCP) is a rare complication,but it has a relatively high mortality risk.Early diagnosis and prompt management are key factors for the successful treatment of ERCP-related perforation.The management of perforation can initially be conservative in cases resulting from sphincterotomy or guide wire trauma.However,the current standard treatment for duodenal free wall perforation is surgical repair.Recently,several case reports of endosco...

关 键 词：Duodenal perforation Endoscopic retrograde cholangiopancreatography Endoscopic therapy ENDOCLIP 

分 类 号：R656.6[医药卫生—外科学]