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Recent Advanced Endoscopic Management of Endoscopic Retrograde Cholangiopancreatography Related Duodenal Perforations

Seon Mee Park
대한소화기내시경학회 (The Korean Society Of Gastrointestinal Endoscopy)|2016.07|Clinical Endoscopy|제49권 제4호|pp. 376-382

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참고문헌

키워드

PerforationCholangiopancreatographyendoscopic retrogradeEndoscopic closure
주제분류내과학

초록

The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient’s condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair. However, with the development of endoscopic devices and techniques, endoscopic closure has been reported to be a safe and effective treatment that uses through-the-scope clips, ligation band, fibrin glue, endoclips and endoloops, an over-the-scope clipping device, suturing devices, covering luminal stents, and open-pore film drainage. Endoscopic therapy could be instituted in selected patients in whom perforation was identified early or during the procedure. Early diagnosis, proper conservative management, and effective endoscopic closure are required for favorable outcomes of non-surgical management. If endoscopic treatment fails, or in the cases of clinical deterioration, prompt surgical management should be considered.

Abstract

The management strategy for endoscopic retrograde cholangiopancreatography-related duodenal perforation can be determined based on the site and extent of injury, the patient’s condition, and time to diagnosis. Most cases of perivaterian or bile duct perforation can be managed with a biliary stent or nasobiliary drainage. Duodenal wall perforations had been treated with immediate surgical repair. However, with the development of endoscopic devices and techniques, endoscopic closure has been reported to be a safe and effective treatment that uses through-the-scope clips, ligation band, fibrin glue, endoclips and endoloops, an over-the-scope clipping device, suturing devices, covering luminal stents, and open-pore film drainage. Endoscopic therapy could be instituted in selected patients in whom perforation was identified early or during the procedure. Early diagnosis, proper conservative management, and effective endoscopic closure are required for favorable outcomes of non-surgical management. If endoscopic treatment fails, or in the cases of clinical deterioration, prompt surgical management should be considered.

참고문헌 (42)

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관련 논문AI추천

Endoscopic Treatments of Endoscopic Retrograde Cholangiopancreatography-Related Duodenal Perforations박상흠, 이태훈, 한종호대한소화기내시경학회 · Clinical Endoscopy2013 · 제46권 제5호Endoscopic closure of duodenal perforation using an endoloop anchored by hemoclipsJong Min Yun, Kyunghyun Kim, Tae-Geun Gweon소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2022 · 제11권 제1호내시경적 역행성 췌담도 조영술 연관 천공의 진단과 치료김영중, 박창환대한내과학회 · 대한내과학회지2021 · 제96권 제4호Endoscopic Retrograde Cholangiopancreatography-Related Large Jejunal Perforation: Operate or Apply Over-the-Scope Clip Device?Angeliki Theodoropoulou, Emmanouil Vardas, Evangelos Voudoukis, George Tribonias, Gregorios Paspatis, Manola Margarita-Eleni대한소화기내시경학회 · Clinical Endoscopy2014 · 제47권 제3호A Case of Ampullary Perforation Treated with a Temporally Covered Metal Stent김은수, 박경식, 조광범, Woo Young Park대한소화기내시경학회 · Clinical Endoscopy2012 · 제45권 제2호Prevention and Management of Post-Endoscopic Retrograde Cholangiopancreatography ComplicationsMartin Freeman, Michel Kahaleh대한소화기내시경학회 · Clinical Endoscopy2012 · 제45권 제3호

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