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

Yıl 2024, Cilt: 10 Sayı: 1 - January 2024, 154 - 156, 04.01.2024

İdris Kurt

https://doi.org/10.18621/eurj.1256002

Öz

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.

Anahtar Kelimeler

Biliary, perforation, self-expandable metal stent

Kaynakça

• 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.