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ERCP subsequent to retroperitoneal perforation caused by endoscopic sphincterotomy
Burçak Kayhan1, Meral Akdoğan, Burhan Sahin
1Department of Gastroenterology, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey.
Gastrointestinal Endoscopy
|November 24, 2004
Summary
Endoscopic retrograde cholangiopancreatography (ERCP) can be safely repeated after a duodenal perforation during endoscopic sphincterotomy. A second ERCP procedure, performed 11-15 days later, successfully completed treatment in all patients.
Area of Science:
- Gastroenterology
- Endoscopic procedures
Background:
- Perforation complicates 0.4% of endoscopic sphincterotomies.
- Traditionally, ERCP is aborted after perforation, precluding further attempts.
- This study investigated repeating ERCP after perforation from endoscopic sphincterotomy.
Observation:
- 15 patients experienced duodenal perforation during ERCP.
- ERCP was halted in these patients.
- Eight patients underwent a second ERCP to complete the initial treatment.
Findings:
- Repeat ERCP was performed 11-15 days post-perforation.
- All repeat ERCP procedures were completed successfully.
- No complications arose during the repeat ERCP sessions.
Implications:
- Repeat ERCP is a viable option after perforation.
- This approach offers a high success rate for completing treatment.
- It challenges the notion that perforation precludes further ERCP.