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[Duodenal perforation post-ERCP: diagnostically and therapeutic management].
- Source :
-
Annali italiani di chirurgia [Ann Ital Chir] 2007 May-Jun; Vol. 78 (3), pp. 193-4. - Publication Year :
- 2007
-
Abstract
- Objective: Author's experience with periduodenal perforation after ERCP and there systematic approach is presented.<br />Methods: A retrospective study of 6 instances of duodenal perforation related to endoscopic retrograde cholangiopancreatography. The study follows these parameters: type of perforations, clinical presentation, diagnostic methods, time to diagnosis, methods of management, surgical procedures, length of stay, mortality and morbidity.<br />Results: Traditionally duodenal perforation after ERCP has been managed surgically; however in last decade management has been shifted to a more selective approach, but some authors promotes non surgical routine management: the reported death rate of medical treatment is high as 50%. In our experience an aggressive diagnostically and therapeutically management may reduce mortality. The decision to manage patients without surgery is a dynamic one and should undergo frequent reevaluation whenever the clinical circumstances demonstrate even the slightest untoward development.<br />Conclusion: A selective management scheme and an aggressive but selective surgical approach may influence overall mortality.
Details
- Language :
- Italian
- ISSN :
- 0003-469X
- Volume :
- 78
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Annali italiani di chirurgia
- Publication Type :
- Academic Journal
- Accession number :
- 17722492