Korean J Med.  2021 Aug;96(4):318-327. 10.3904/kjm.2021.96.4.318.

Diagnosis and Management of Iatrogenic Endoscopic Retrograde Cholangiopancreatography Perforations Based on the European Society of Gastrointestinal Endoscopy Position Statement

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP)-related iatrogenic perforations are identified when gas or luminal contents exit the gastrointestinal tract during ERCP. Although perforations are rare, mortality is high; prompt diagnosis and appropriate management are essential. A multidisciplinary approach is required. The vast majority of such patients can be safely managed medically and endoscopically but must be carefully selected. Endoscopic closure can be considered, depending on the type of perforation. In patients who are deteriorating or whose iatrogenic perforations are not securely closed endoscopically, surgery is mandatory.

Keyword

내시경적 역행성 췌담도 조영술; 의인성; 소화관 천공; 합병증; Cholangiopancreatography, endoscopic retrograde; Iatrogenic; Intestinal perforation; Complications
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