Abstract
In the epoch of minimally invasive management of biliary and pancreatic disorders, endoscopic retrograde cholangiopancreatography (ERCP) combined with endoscopic sphincterotomy (ES) has become a prevalent procedure all over the world. Even though ES is a safe procedure, it carries a small but significant number of serious complications which include pancreatitis, bleeding, cholangitis and perforation.
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Andriulli A, Loperfido S, Napolitano G, et al. Incidence rates of post-ERCP complications: a systematic survey of prospective studies. Am J Gastroenterol. 2007;102:1781.
Rabie ME, Al Faris S, Nasser A, et al. Parenchymal guidewire perforation during ERCP: an unappreciated injury. Case Rep Surg. 2015;2015:670323.
Fatima J, Baron TH, Topazian MD, et al. Pancreaticobiliary and duodenal perforations after periampullary endoscopic procedures: diagnosis and management. Arch Surg. 2007;142:448.
Lin LF, Siauw CP, Ho KS, Tung JC. ERCP in post-Billroth II gastrectomy patients: emphasis on technique. Am J Gastroenterol. 1999;94:144.
Stermer E, Levy N. Esophageal perforation during ERCP. Gastrointest Endosc. 1993;39:603.
Fireman Z, Kyzer S, Michalevicz D, et al. Esophageal perforation after endoscopic sphincterotomy during stone extraction from the common bile duct. J Clin Gastroenterol. 1994;19(2):173–5.
Faylona JM, Qadir A, Chan AC, et al. Small-bowel perforations related to endoscopic retrograde cholangiopancreatography (ERCP) in patients with Billroth II gastrectomy. Endoscopy. 1999;31:546.
Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232:191.
Jayaprakash B, Wright R. Common bile duct perforation--an unusual complication of ERCP. Gastrointest Endosc. 1986;32:246.
Coelho JC, Campos AC, Pisani JC, et al. Common hepatic duct perforation: a rare complication associated with ERCP. Gastrointest Endosc. 1990;36:427.
Vandervoort J, Soetikno RM, Tham TC, et al. Risk factors for complications after performance of ERCP. Gastrointest Endosc. 2002;56:652.
Kayhan B, Akdoğan M, Sahin B. ERCP subsequent to retroperitoneal perforation caused by endoscopic sphincterotomy. Gastrointest Endosc. 2004;60:833.
Machado NO. Management of duodenal perforation post-endoscopic retrograde cholangiopancreatography. When and whom to operate and what factors determine the outcome? A review article. JOP. 2012;13:18.
Howard TJ, Tan T, Lehman GA, et al. Classification and management of perforations complicating endoscopic sphincterotomy. Surgery. 1999;126:658.
Polydorou A, Vezakis A, Fragulidis G, et al. A tailored approach to the management of perforations following endoscopic retrograde cholangiopancreatography and sphincterotomy. J Gastrointest Surg. 2011;15:2211.
Martin DF, Tweedle DE. Retroperitoneal perforation during ERCP and endoscopic sphincterotomy: causes, clinical features and management. Endoscopy. 1990;22:174.
Wu HM, Dixon E, May GR, Sutherland FR. Management of perforation after endoscopic retrograde cholangiopancreatography (ERCP): a population-based review. HPB (Oxford). 2006;8:393.
Assalia A, Suissa A, Ilivitzki A, et al. Validity of clinical criteria in the management of endoscopic retrograde cholangiopancreatography related duodenal perforations. Arch Surg. 2007;142:1059.
Avgerinos DV, Llaguna OH, Lo AY, et al. Management of endoscopic retrograde cholangiopancreatography: related duodenal perforations. Surg Endosc. 2009;23:833.
Kuhlman JE, Fishman EK, Milligan FD, Siegelman SS. Complications of endoscopic retrograde sphincterotomy: computed tomographic evaluation. Gastrointest Radiol. 1989;14:127.
Kwon W, Jang JY, Ryu JK, et al. Proposal of an endoscopic retrograde cholangiopancreatography-related perforation management guideline based on perforation type. J Korean Surg Soc. 2012;83:218.
Prachayakul V, Aswakul P. Endoscopic retrograde cholangiopancreatography-related perforation: management and prevention. World J Clin Cases. 2014;2:522.
Paspatis GA, Dumonceau JM, Barthet M, et al. Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) position statement. Endoscopy. 2014;46:693.
Baron TH, Gostout CJ, Herman L. Hemoclip repair of a sphincterotomy-induced duodenal perforation. Gastrointest Endosc. 2000;52:566.
Solomon M, Schlachterman A, Morgenstern R. Iatrogenic duodenal perforation treated with endoscopic placement of metallic clips: a case report. Case Rep Med. 2012;2012:609750.
Donatelli G, Dumont JL, Vergeau BM, et al. Colic and gastric over-the-scope clip (Ovesco) for the treatment of a large duodenal perforation during endoscopic retrograde cholangiopancreatography. Ther Adv Gastroenterol. 2014;7:282.
Tribonias G, Voudoukis E, Vardas E, et al. Endoscopic retrograde cholangiopancreatography-related large jejunal perforation: operate or apply over-the-scope clip device? Clin Endosc. 2014;47:281.
Li Y, Han Z, Zhang W, et al. Successful closure of lateral duodenal perforation by endoscopic band ligation after endoscopic clipping failure. Am J Gastroenterol. 2014;109:293.
Loperfido S, Angelini G, Benedetti G, et al. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastrointest Endosc. 1998;48:1.
Boender J, Nix GA, de Ridder MA, et al. Endoscopic papillotomy for common bile duct stones: factors influencing the complication rate. Endoscopy. 1994;26:209.
Alfieri S, Rosa F, Cina C, et al. Management of duodeno-pancreato-biliary perforations after ERCP: outcomes from an Italian tertiary referral centre. Surg Endosc. 2013;27:2005.
Cheng Y, Xiong XZ, Wu SJ, et al. Carbon dioxide insufflation for endoscopic retrograde cholangiopancreatography: a metaanalysis and systematic review. World J Gastroenterol. 2012;18:5622.
Ciaccia D, Branch MS, Baillie J. Pneumomediastinum after endoscopic sphincterotomy. Am J Gastroenterol. 1995;90:475.
Lee TH, Bang BW, Jeong JI, et al. Primary endoscopic approximation suture under cap-assisted endoscopy of an ERCP-induced duodenal perforation. World J Gastroenterol. 2010;16:2305.
Li Q, Ji J, Wang F, et al. ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report. Oncotarget. 2015;6:17847.
Buffoli F, Grassia R, Iiritano E, et al. Endoscopic “retroperitoneal fatpexy” of a large ERCP-related jejunal perforation by using a new over-the-scope clip device in Billroth II anatomy. Endoscopy. 2012;75:1115.
Vezakis A, Fragulidis G, Nastos C, et al. Closure of a persistent sphincterotomy-related duodenal perforation by placement of a covered self-expandable metallic biliary stent. World J Gastroenterol. 2011;17:4539.
Krishna RP, Singh RK, Behari A, et al. Post-endoscopic retrograde cholangiopancreatography perforation managed by surgery or percutaneous drainage. Surg Today. 2011;41:660.
Loske G, Rucktäschel F, Schorsch T, et al. Successful endoscopic vacuum therapy with new open-pore film drainage in a case of iatrogenic duodenal perforation during ERCP. Endoscopy. 2015;47:E577.
Mutignani M, Iacopini F, Dokas S, et al. Successful endoscopic closure of a lateral duodenal perforation at ERCP with fibrin glue. Gastrointest Endosc. 2006;63:725.
Yang HY, Chen JH. Endoscopic fibrin sealant closure of duodenal perforation after endoscopic retrograde cholangiopancreatography. World J Gastroenterol. 2015;21:12976.
Morgan KA, Fontenot BB, Ruddy JM, et al. Endoscopic retrograde cholangiopancreatography gut perforations: when to wait! when to operate! Am Surg. 2009;75:477.
Preetha M, Chung YF, Chan WH, et al. Surgical management of endoscopic retrograde cholangiopancreatography-related perforations. ANZ J Surg. 2003;73:1011.
Mao Z, Zhu Q, Wu W, et al. Duodenal perforations after endoscopic retrograde cholangiopancreatography: experience and management. J Laparo endosc Adv Surg Tech A. 2008;18:691.
Miller R, Zbar A, Klein Y, et al. Perforations following endoscopic retrograde cholangiopancreatography: a single institution experience and surgical recommendations. Am J Surg. 2013;206:180.
Koc B, Bircan HY, Adas G, et al. Complications following endoscopic retrograde cholangiopancreatography: minimal invasive surgical recommendations. PLoS One. 2014;9:e113073.
Turner RC, Steffen CM, Boyd P. Endoscopic duodenal perforation: surgical strategies in a regional centre. World J Emerg Surg. 2014;9:11.
Berne CJ, Donovan AJ, White EJ, Yellin AE. Duodenal diverticulization for duodenal and pancreatic injury. Am J Surg. 1974;127:503–7.
Vaughan GD, Frazier OH, Graham DY, Mattox KL, Petmechy FF, Jordan GL. The use of pyloric exclusion in the management of severe duodenal injuries. Am J Surg. 1977;134:785–90.
Cukingnan RA, Culliford AT, Worth MH. Surgical correction of a lateral duodenal fistula with the Roux-Y technique. J Trauma. 1975;15:519–23.
Doglietto GB, Pacelli F, Caprino P, et al. Posterior laparostomy through the bed of the 12th rib to drain retroperitoneal infection after endoscopic sphincterotomy. Br J Surg. 2004;91:730.
Klipfel AA, Schein M. Retroperitoneal perforation of the duodenum and necrotizing extension to the scrotum. Surgery. 2003;133(3):337–9.
Cotton PB, Williams C. Technique of biliary sphincterotomy. In:Practical gastrointestinal endoscopy. 4th ed. Oxford: Blackwell; 1996. p. 142.
Tarnasky PR, Kedia P. Endoscopic retrograde cholangiopancreatography complications: techniques to reduce risk and management strategies. Gastrointest Interv. 2017;6:37–53.
Vezakis A, Fragulidis G, Polydorou A. Endoscopic retrograde cholangiopancreatography-related perforations: diagnosis and management. World J Gastrointest Endosc. 2015;7:1135–41.
Freeman ML. Complications of endoscopic retrograde cholangiopancreatography: avoidance and management. Gastrointest Endosc Clin N Am. 2012;22:567–86.
Norton ID, Petersen BT, Bosco J, Nelson DB, Meier PB, Baron TH, et al. A randomized trial of endoscopic biliary sphincterotomy using pure-cut versus combined cut and coagulation waveforms. Clin Gastroenterol Hepatol. 2005;3:1029–33.
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Soundappan, S., Pradeep, R., Rao, G.V., Reddy, D.N. (2019). ERCP-Induced Perforations. In: Sahni, P., Pal, S. (eds) GI Surgery Annual. GI Surgery Annual, vol 25. Springer, Singapore. https://doi.org/10.1007/978-981-13-3227-2_7
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DOI: https://doi.org/10.1007/978-981-13-3227-2_7
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