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Published on: December 15, 2023
Iatrogenic duodenal diverticulum perforation: a systematic review
Madison Boot1, Kenneth Chew1,2, Jack Archer1,2
1Department of Urology, Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia.
Iatrogenic perforation of duodenal diverticulum is a rare but serious complication, often occurring during endoscopic retrograde cholangiopancreatography or surgery. Prompt recognition and surgical repair are crucial due to high morbidity and mortality rates.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Medical Device Safety
Background:
- Duodenal diverticulum affects ~20% of the population, with rare but severe iatrogenic perforations possible.
- Iatrogenic perforation of duodenal diverticulum is an exceptionally rare complication.
- This review focuses on the causes, prevention, and outcomes of iatrogenic duodenal diverticulum perforation.
Conclusions:
- Iatrogenic duodenal diverticulum perforation is rare but carries significant morbidity and mortality.
- Limited guidelines exist for preventing iatrogenic perforations; preoperative imaging review is recommended.
- Intraoperative recognition and immediate surgical repair are viable management options.
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