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Medline ® Abstract for Reference 106

of 'Post-ERCP perforation'

Value of temporary stents for the management of perivaterian perforation during endoscopic retrograde cholangiopancreatography.
Lee SM, Cho KB
World J Clin Cases. 2014 Nov;2(11):689-97.
Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of treatment in hepato-pancreato-biliary disease. However, ERCP requires a high level of technical skills and experience in therapeutic endoscopy, there is always a risk of complications. Especially, the perforation per se affects the patient adversely, and the clinical course may lead to a poor prognosis, even with appropriate management. The treatments for ERCP-related perforation are diverse, depending on the location and mechanism of the bowel perforation and the time of diagnosis. Thus, we reviewed the appropriate surgical and non-surgical management options for therapeutic ERCP-related perforations, especially, evaluating metallic stenting as a treatment modality in perivaterian perforation.
Sang Min Lee, Kwang Bum Cho, Department of Internal Medicine and Institute for Medical Science, Keimyung University School of Medicine, Daegu 700-712, South Korea.