Article: Strategia diagnostico-terapeutica nelle complicanze perforative post-colangiopancreatografia retrograda endoscopica (ERCP).
2007 Volume 78, Issue 3, Page(s) 193–194
Abstract: Objective: Author's experience with periduodenal perforation after ERCP and there systematic approach is presented.: Methods: A retrospective study of 6 instances of duodenal perforation related to endoscopic retrograde cholangiopancreatography. The ... ...
Title translation | Duodenal perforation post-ERCP: diagnostically and therapeutic management. |
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Abstract | Objective: Author's experience with periduodenal perforation after ERCP and there systematic approach is presented. Methods: A retrospective study of 6 instances of duodenal perforation related to endoscopic retrograde cholangiopancreatography. The study follows these parameters: type of perforations, clinical presentation, diagnostic methods, time to diagnosis, methods of management, surgical procedures, length of stay, mortality and morbidity. Results: Traditionally duodenal perforation after ERCP has been managed surgically; however in last decade management has been shifted to a more selective approach, but some authors promotes non surgical routine management: the reported death rate of medical treatment is high as 50%. In our experience an aggressive diagnostically and therapeutically management may reduce mortality. The decision to manage patients without surgery is a dynamic one and should undergo frequent reevaluation whenever the clinical circumstances demonstrate even the slightest untoward development. Conclusion: A selective management scheme and an aggressive but selective surgical approach may influence overall mortality. |
MeSH term(s) | Cholangiopancreatography, Endoscopic Retrograde/adverse effects ; Duodenum/injuries ; Humans ; Intestinal Perforation/diagnosis ; Intestinal Perforation/etiology ; Intestinal Perforation/therapy |
Language | Italian |
Publishing date | 2007-05 |
Publishing country | Italy |
Document type | English Abstract ; Journal Article |
ZDB-ID | 418927-9 |
ISSN | 2239-253X ; 0003-469X |
ISSN (online) | 2239-253X |
ISSN | 0003-469X |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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