Validity of Clinical Criteria in the Management of Endoscopic Retrograde Cholangiopancreatography–Related Duodenal Perforations

Assalia, Ahmad; Suissa, Alain; Ilivitzki, Anat; Mahajna, Ahmad; Yassin, Kamal; Hashmonai, M; Krausz, Michael M.

doi:10.1001/archsurg.142.11.1059

Cited by 55 publications

(29 citation statements)

References 25 publications

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“…Perforations that measure less than 1 cm with early diagnosis can usually be treated with direct repair. 1,3,4,6,9 In presence of larger duodenal perforations a viable option could be the positioning of jejunal serosal patch to close the duodenal wall. However, duodenal perforation repair in presence of large defect of with a delayed diagnosis is a high-risk procedure.…”

Section: Discussionmentioning

confidence: 99%

“…This is absolutely frequent especially in those cases where the duodenal wall is inflamed with a full thick edema and friable tissues. 1,3,4,6,9 Frequently surgeons prefer duodenal diversion in highrisk patients with a delayed in diagnosis or with large defects.…”

Section: Discussionmentioning

confidence: 99%

“…Delay in the diagnosis and intervention, leads to significantly higher mortality (8-23%) as a consequence of sepsis and multi-organ failure. [1][2][3][4][5][6][7][8][9][10][11][12][13] Traditionally traumatic and non-traumatic duodenal perforations have been managed surgically. However, in the past decade the management has evolved towards a selective approach.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6][7][8] ERCP induced perforation (major complications 5.4%-23.0%, mortality 0.1-1%) [14][15][16][17] may be retroperitoneal (typically in peri-ampullary region due to sphincterotomy or guidewire usage) or intra-peritoneal (typically in the lateral wall and endoscopy related). 1,2,7,9,12,[14][15][16][17] Depending on the perforation location the treatment can be conservative or operative. Moreover exist cases of duodenal perforations due to different causative events (i.e.…”

Section: Introductionmentioning

confidence: 99%

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An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

et al. 2018

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The treatment of duodenal perforations has scarce options and it is very difficult with an high failure rate. The aim of this work is to describe a new surgical technique that was used to treat ten patients suffering from duodenal perforation.The procedure based on the concept to enforce the duodenal suture with remodeling material allowing to the inflamed and oedematous tissues to heal without to be cut by the repairing stitches themselves, is performed with biological prosthesis patches.90% of patients treated with this innovative technique experienced a complete healing of the duodenal perforation.This unique surgical technique not only proved to be safe, but it also solved the 90% of duodenal perforations in patients at risk to die.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

et al. 2018

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“…One study reported only 64% had mild to moderate abdominal tenderness and only 18% had peritoneal signs. [7] The diagnostic images include abdominal X-ray, CT and upper GI series. The abdominal X-ray could demonstrate free air outlining the liver, kidney, psoas muscle and even bowel wall.…”

Section: Discussionmentioning

confidence: 99%

Pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum secondary to afferent loop perforation after upper endoscopy in patient with Billroth II gastrectomy

Hou

Chen

Shih

2016

CRIM

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Complications related by upper endoscopy include bleeding, perforation and infections but they are rare on simply diagnostic endoscopy. Duodenal perforation is less common but mortality rates are high. Diagnosis is based on keeping high suspicion that makes early detection to offer optimal treatments and better outcomes. Surgical intervention is standard treatment but some cases could benefit from conservative care. However, there was little literature description of afferent loop perforation after upper endoscopy. Herein, we report a case of pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum secondary to afferent loop perforation after upper endoscopy in patient with Billroth II gastrectomy. This rare case should be the reminder for physicians carefully performing upper endoscopy in patients with Billroth-II gastrectomy and keeping high suspicion of perforation after endoscopy if abdominal pain.

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Role of Intraoperative Thermoablation Combined With Resection in the Treatment of Hepatic Metastasis From Colorectal Cancer

Kornprat

Jarnagin²,

DeMatteo³

et al. 2007

Arch Surg

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Validity of Clinical Criteria in the Management of Endoscopic Retrograde Cholangiopancreatography–Related Duodenal Perforations

Abstract: To assess the validity of predetermined clinical and radiologic criteria in the management of endoscopic retrograde cholangiopancreatography (ERCP)related duodenal perforations (DPs).

Cited by 55 publications

References 25 publications

An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

An innovative duodenal perforation surgical repair technique: the BIOPATCH technique

Pneumomediastinum, pneumoperitoneum, and pneumoretroperitoneum secondary to afferent loop perforation after upper endoscopy in patient with Billroth II gastrectomy

Role of Intraoperative Thermoablation Combined With Resection in the Treatment of Hepatic Metastasis From Colorectal Cancer

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