Endoscopic duodenal perforation: surgical strategies in a regional centre

Endoscopic duodenal perforation: surgical strategies in a regional centre

BACKGROUND Duodenal perforation is an uncommon complication of endoscopic retrograde cholangio-pancreatography (ERCP) and a rare complication of upper gastrointestinal endoscopy. Most are minor perforations that settle with conservative management. A few perforations however result in life-threatening retroperitoneal necrosis and require surgical intervention. There is a relative paucity of ref...

Endoscopic intraluminal vacuum therapy of duodenal perforation.

Endoscopic Treatment for Duodenal Perforation during ERCP

Gut perforations during ERCP and stenting or due to migration of stents are very rare complications, with an incidence of well below 2%. Moreover, direct duodenoscope-induced lateral or medial duodenal wall perforation is much less common, accounting for 0.1% of patients who undergo ERCP, but tends to be large and further away from the ampulla. Duodenal perforations from the superior duodenal a...

Pneumopericardium, pneumomediastinum, pneumoretroperitoneum and surgical emphysema secondary to a duodenal perforation post-endoscopic retrograde cholangiopancreatography.

To cite: Harvey JP. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015209920 DESCRIPTION A 46-year-old woman presented with severe upper abdominal pain and vomiting 12 h post-endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy for choledocholithiasis. The patient also described a sensation of ‘crackling in the neck’ on head rotation. On exam...

Endoscopic stent treatment of a duodenal ulcer perforation.

required because of persistent leakage from perforated ulcers or if the perforations are larger than 2–3 cm. Common alternatives are a novel Graham patch closure, Billroth procedure, jejunal serosal patch, and duodenojejunostomy with a Roux-en-Y anastomosis [1,2]. Many of these are complicated surgical procedures which require prolonged general anesthesia. Our patient, an 81-year-old man, was a...