Research letter
Management of duodenal perforations after endoscopic retrograde cholangiopancreatography
331-333
Francisco Miguel González Valverde, Antonio José Fernández López,
Objective:To describe our experience regarding post-endoscopic retrograde cholangio-pancreatography (ERCP) perforations and its conservative management.
Material and methods: Retrospective study of the therapeutic management of post-ERCP perforations occurred over the period 2012-2017 in our hospital.
Results: There were 12 perforations after ERCP, with choledocholithiasis being the main indication for the test (66.6%). In 9 cases (75%) an initial conservative attitude was attempted, but only 3 of them (25%) managed to solve the problem with broad-spectrum antibiotics, parenteral nutrition and close monitoring of the patient.
Discussion: Management of post-ERCP perforations must be individualized for each patient, depending on the clinical situation. Surgery remains the best option for the treatment of post-ERCP perforations, although conservative medical management is an option to be assessed, assuming that if it fails, delaying surgery is associated with high morbidity and mortality rates.
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05/11/2019 17:26:13
Un buen trabajo