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Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent

Year 2024, , 154 - 156, 04.01.2024
https://doi.org/10.18621/eurj.1256002

Abstract

Perforations after endoscopic retrograde colangiopancreatography (ERCP) are divided into four types. Type 1 refers to the duodenum, type 2 the periampullary region, type 3 the bile duct itself, and type 4 the observation of retroperitoneal free air on cross-sectional imaging. The treatment of type 2 biliary perforations remains debatable. We present a patient who was successfully treated with a self-expandable metal stent (SEMS) without the need for surgery or any complications.

References

  • 1. Sarli L, Porrini C, Costi R, et al. Operative treatment of periampullary retroperitoneal perforation complicating endoscopic sphincterotomy. Surgery. 2007;142(1):26-32. doi: 10.1016/j.surg.2007.02.002.
  • 2. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232(2):191-198. doi: 10.1097/00000658-200008000-00007.
  • 3. Tovar FG, Mendoza SJ, Velandia CC, López L C. [Case report of rescue therapy for bile duct perforation using fully covered self-expanding metal stent after failure of conservative management]. Rev Colomb Gastroenterol 2018;33:74-79. doi:10.22516/25007440.235. [Article in Spanish]
  • 4. Odemis B, Oztas E, Kuzu UB, et al. Can a Fully Covered Self-Expandable Metallic Stent be Used Temporarily for the Management of Duodenal Retroperitoneal Perforation During ERCP as a Part of Conservative Therapy? Surg Laparosc Endosc Percutan Tech. 2016;26(1):9-17. doi: 10.1097/SLE.0000000000000240.
  • 5. Bozbiyik O, Cetin B, Gumus T, Tekin F, Uguz A. Fully covered self-expandable metal stent for intraprocedural or late-diagnosed Type-II endoscopic retrograde cholangiopancreatography-related perforations. BMC Gastroenterol. 2022;22(1):385. doi: 10.1186/s12876-022-02466-9.
Year 2024, , 154 - 156, 04.01.2024
https://doi.org/10.18621/eurj.1256002

Abstract

References

  • 1. Sarli L, Porrini C, Costi R, et al. Operative treatment of periampullary retroperitoneal perforation complicating endoscopic sphincterotomy. Surgery. 2007;142(1):26-32. doi: 10.1016/j.surg.2007.02.002.
  • 2. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232(2):191-198. doi: 10.1097/00000658-200008000-00007.
  • 3. Tovar FG, Mendoza SJ, Velandia CC, López L C. [Case report of rescue therapy for bile duct perforation using fully covered self-expanding metal stent after failure of conservative management]. Rev Colomb Gastroenterol 2018;33:74-79. doi:10.22516/25007440.235. [Article in Spanish]
  • 4. Odemis B, Oztas E, Kuzu UB, et al. Can a Fully Covered Self-Expandable Metallic Stent be Used Temporarily for the Management of Duodenal Retroperitoneal Perforation During ERCP as a Part of Conservative Therapy? Surg Laparosc Endosc Percutan Tech. 2016;26(1):9-17. doi: 10.1097/SLE.0000000000000240.
  • 5. Bozbiyik O, Cetin B, Gumus T, Tekin F, Uguz A. Fully covered self-expandable metal stent for intraprocedural or late-diagnosed Type-II endoscopic retrograde cholangiopancreatography-related perforations. BMC Gastroenterol. 2022;22(1):385. doi: 10.1186/s12876-022-02466-9.
There are 5 citations in total.

Details

Primary Language English
Subjects Gastroenterology and Hepatology
Journal Section Case Reports
Authors

İdris Kurt 0000-0001-5966-1055

Early Pub Date August 17, 2023
Publication Date January 4, 2024
Submission Date February 24, 2023
Acceptance Date June 7, 2023
Published in Issue Year 2024

Cite

AMA Kurt İ. Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent. Eur Res J. January 2024;10(1):154-156. doi:10.18621/eurj.1256002

e-ISSN: 2149-3189 


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