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Medline ® Abstract for Reference 93

of 'Post-ERCP perforation'

Selected treatments for duodenal perforation after ERCP. A report of three cases.
Amodio PM, Faggiani R, Pastorelli A, Bigonzoni E, Consolo S, Bruni V, Goglia A, Piccioni E, Piciollo M, Anti M, Palmieri RM
Chir Ital. 2007;59(3):343.
Perforation is one of the most serious complications of endoscopic sphincterotomy. In the last decade, the management has shifted towards a more selective approach. Three cases are reported here involving three different treatments. In one case, the patient was submitted to a surgical procedure, while a conservative strategy was preferred in the other two, consisting in a naso-biliary drain and endoscopic clip placement, respectively. In this way, the safety of surgical and nonsurgical management of ERCP-related duodenal perforations was tested.
UOC Chirurgia Generale, Ospedale Belcolle, Viterbo.