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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...

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Updated: Jun 27, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

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Published on: March 25, 2022

A devastating complication: duodenal perforation due to biliary stent migration.

Cheng Hean Lo1, Stephen Chung, Robert D Bohmer

  • 1Department of General Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia. C_lo2@yahoo.com.au

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 23, 2008
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Summary

Endoscopic retrograde cholangiopancreatography (ERCP) is vital for biliary and pancreatic issues but carries risks. This case highlights a rare duodenal perforation complication following ERCP, prompting a literature review on this serious adverse event.

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Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
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Area of Science:

  • Gastroenterology
  • Endoscopic Procedures
  • Surgical Complications

Background:

  • Endoscopic retrograde cholangiopancreatography (ERCP) is a key diagnostic and therapeutic tool for biliary and pancreatic diseases.
  • ERCP is invasive, with reported complication rates between 5% and 15% and a mortality rate of 1%.

Observation:

  • This report details an uncommon case of duodenal perforation directly related to a stent placed during ERCP.
  • The patient experienced a severe complication following the endoscopic procedure.

Findings:

  • ERCP-related perforations are rare but serious complications.
  • A review of existing literature was conducted to understand risk factors, causes, diagnosis, treatment, and outcomes of ERCP-induced perforations.

Implications:

  • Understanding ERCP-related perforations is crucial for improving patient safety and management strategies.
  • This case and literature review offer insights into managing this devastating ERCP complication.