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Updated: Feb 7, 2026

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
Published on: December 15, 2023
Management of ERCP- and EUS-related duodenal perforations using over-the-scope clips
Ahmad M Al-Taee1, Jonathan Cohen1, Yunseok Namn1
1Center for Therapeutic Advanced Endoscopy and Innovation, Division of Gastroenterology and Hepatology, NYU Langone School of Medicine, New York, New York, USA.
Abstract:
EUS and ERCP are widely used for the evaluation and management of various pancreatobiliary conditions. They are generally regarded as safe procedures. Perforation is a rare but life-threatening adverse event of EUS and ERCP. Here we present 3 cases of ERCP- and EUS-related perforations that were successfully managed with over-the-scope clips (OTSCs). This work highlights the importance of early recognition and management of post-ERCP and -EUS perforations to ensure the best outcome possible. OTSCs have expanded the ability to close larger perforations and fistulas and could be considered a first-line tool for endoscopic closure of ERCP- and EUS-related perforations.
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