Related Experiment Video
Updated: Jan 28, 2026

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
Management of duodenal perforations after endoscopic retrograde cholangiopancreatography
Francisco Miguel González Valverde1, Antonio José Fernández López2
1Cirugía General y del Aparato Digestivo., Hospital General Universitario Reina Sofía de Murc, España.
Objective:
To describe our experience regarding post-endoscopic retrograde cholangio-pancreatography (ERCP) perforations and its conservative management.
Material And Methods:
Retrospective study of the therapeutic management of post-ERCP perforations occurred over the period 2012-2017 in our hospital.
Results:
There were 12 perforations after ERCP, with choledocholithiasis being the main indication for the test (66.6%). In 9 cases (75%) an initial conservative attitude was attempted, but only 3 of them (25%) managed to solve the problem with broad-spectrum antibiotics, parenteral nutrition and close monitoring of the patient.
Discussion:
Management of post-ERCP perforations must be individualized for each patient, depending on the clinical situation. Surgery remains the best option for the treatment of post-ERCP perforations, although conservative medical management is an option to be assessed, assuming that if it fails, delaying surgery is associated with high morbidity and mortality rates.
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