OBJECTIVE: Author's experience with periduodenal perforation after ERCP and there systematic approach is presented. METHODS: A retrospective study of 6 instances of duodenal perforation related to endoscopic retrograde cholangiopancreatography. The study follows these parameters: type of perforations, clinical presentation, diagnostic methods, time to diagnosis, methods of management, surgical procedures, length of stay, mortality and morbidity. RESULTS: Traditionally duodenal perforation after ERCP has been managed surgically; however in last decade management has been shifted to a more selective approach, but some authors promotes non surgical routine management: the reported death rate of medical treatment is high as 50%. In our experience an aggressive diagnostically and therapeutically management may reduce mortality. The decision to manage patients without surgery is a dynamic one and should undergo frequent reevaluation whenever the clinical circumstances demonstrate even the slightest untoward development. CONCLUSION: A selective management scheme and an aggressive but selective surgical approach may influence overall mortality
Fattori, L., Nespoli, L.C., Ardito, A., Germini, A., & Nespoli, A. (2007). Duodenal perforation post-ERCP: Diagnostically and therapeutic management. ANNALI ITALIANI DI CHIRURGIA, 78(3), 193-194.
Citazione: | Fattori, L., Nespoli, L.C., Ardito, A., Germini, A., & Nespoli, A. (2007). Duodenal perforation post-ERCP: Diagnostically and therapeutic management. ANNALI ITALIANI DI CHIRURGIA, 78(3), 193-194. |
Tipo: | Articolo in rivista - Articolo scientifico |
Carattere della pubblicazione: | Scientifica |
Presenza di un coautore afferente ad Istituzioni straniere: | No |
Titolo: | Duodenal perforation post-ERCP: Diagnostically and therapeutic management |
Autori: | Fattori, L; Nespoli, LC; Ardito, A; Germini, A; Nespoli,A |
Autori: | |
Data di pubblicazione: | 2007 |
Lingua: | Italian |
Rivista: | ANNALI ITALIANI DI CHIRURGIA |
Appare nelle tipologie: | 01 - Articolo su rivista |