Management of ERCP-related perforations: outcomes of single institution in Korea.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Ji Hun KimWook Hwan Kim

Abstract

The aim of this study was to analyze clinicoradiologic findings and treatment outcomes of patients with endoscopic retrograde cholangiopancreatography (ERCP)-related perforations. Between May 2003 and November 2007, 2,247 ERCP procedures with or without sphincterotomy were performed at Ajou University Medical Center, Suwon, Korea, and 20 perforations (0.89%) were identified. We retrospectively reviewed medical and surgical records of each patient. Of 18 patients, 11 patients (61.1%) underwent nonsurgical management, and seven patients (38.9%) received surgical management. There were no significant differences in age, gender, and laboratory findings between two groups (P > 0.05). The hospital stay was significantly longer in the operative group than that of the conservative group (P < 0.05, respectively). The most common cause of perforation was sphincterotomy (n = 8) in the conservative group whereas scope itself (n = 6) in operative group, showing a significant difference between the two groups (P < 0.05). The retroperitoneal air was most common findings in eight patients (72.7%) of the conservative group, while six (85.7%) patients of the operative group presented with intraperitoneal air, displaying a significant difference ...Continue Reading

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Citations

Feb 1, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Metin ErcanMusa Akoglu
Aug 18, 2012·Gastroenterology Research and Practice·Guohua LiNonghua Lv
Nov 18, 2014·World Journal of Gastroenterology : WJG·Yasuaki MotomuraKazuhiko Nakamura

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