Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation

Endoscopic retrograde cholangiopancreatography (ERCP) is the main diagnosis and treatment for biliary and pancreatic diseases; however, ERCP requires a high level of technical skill and experience, and there is always a risk of complications. ERCP-related duodenal perforation is one of the most seri...

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Autores principales: Guiying Zhu, Fenglin Hu, Changmiao Wang
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Lenguaje:EN
Publicado: Termedia Publishing House 2020
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Acceso en línea:https://doaj.org/article/7adc64fc8ad04322a48fea7f4b9f629e
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spelling oai:doaj.org-article:7adc64fc8ad04322a48fea7f4b9f629e2021-12-02T18:55:06ZRecent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation1895-45882299-005410.5114/wiitm.2020.101025https://doaj.org/article/7adc64fc8ad04322a48fea7f4b9f629e2020-11-01T00:00:00Zhttps://www.termedia.pl/Recent-advances-in-prevention-and-management-of-endoscopic-retrograde-cholangiopancreatography-related-duodenal-perforation,42,42481,1,1.htmlhttps://doaj.org/toc/1895-4588https://doaj.org/toc/2299-0054Endoscopic retrograde cholangiopancreatography (ERCP) is the main diagnosis and treatment for biliary and pancreatic diseases; however, ERCP requires a high level of technical skill and experience, and there is always a risk of complications. ERCP-related duodenal perforation is one of the most serious complications of ERCP, and although the incidence rate is relatively low, the mortality rate is high. Recently, the introduction of new classification methods and the development of endoscopic technology and equipment have made endoscopic therapy a new trend. This may change the management strategy of perforation. Therefore, we reviewed the latest developments in endoscopic management, surgical management, and conservative internal medicine management. In addition to introducing many new endoscope treatment methods, we also discussed the timing of interventions, the progress of endoscope and surgical indications, and corresponding prevention strategies. We aim to retrospectively analyse these treatment modalities to propose appropriate solutions to improve dynamic clinical therapy.Guiying ZhuFenglin HuChangmiao WangTermedia Publishing Housearticleendoscopic retrograde cholangiopancreatography duodenal perforation management prevention strategy.MedicineRENVideosurgery and Other Miniinvasive Techniques, Vol 16, Iss 1, Pp 19-29 (2020)
institution DOAJ
collection DOAJ
language EN
topic endoscopic retrograde cholangiopancreatography
duodenal perforation
management
prevention strategy.
Medicine
R
spellingShingle endoscopic retrograde cholangiopancreatography
duodenal perforation
management
prevention strategy.
Medicine
R
Guiying Zhu
Fenglin Hu
Changmiao Wang
Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
description Endoscopic retrograde cholangiopancreatography (ERCP) is the main diagnosis and treatment for biliary and pancreatic diseases; however, ERCP requires a high level of technical skill and experience, and there is always a risk of complications. ERCP-related duodenal perforation is one of the most serious complications of ERCP, and although the incidence rate is relatively low, the mortality rate is high. Recently, the introduction of new classification methods and the development of endoscopic technology and equipment have made endoscopic therapy a new trend. This may change the management strategy of perforation. Therefore, we reviewed the latest developments in endoscopic management, surgical management, and conservative internal medicine management. In addition to introducing many new endoscope treatment methods, we also discussed the timing of interventions, the progress of endoscope and surgical indications, and corresponding prevention strategies. We aim to retrospectively analyse these treatment modalities to propose appropriate solutions to improve dynamic clinical therapy.
format article
author Guiying Zhu
Fenglin Hu
Changmiao Wang
author_facet Guiying Zhu
Fenglin Hu
Changmiao Wang
author_sort Guiying Zhu
title Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
title_short Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
title_full Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
title_fullStr Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
title_full_unstemmed Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
title_sort recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation
publisher Termedia Publishing House
publishDate 2020
url https://doaj.org/article/7adc64fc8ad04322a48fea7f4b9f629e
work_keys_str_mv AT guiyingzhu recentadvancesinpreventionandmanagementofendoscopicretrogradecholangiopancreatographyrelatedduodenalperforation
AT fenglinhu recentadvancesinpreventionandmanagementofendoscopicretrogradecholangiopancreatographyrelatedduodenalperforation
AT changmiaowang recentadvancesinpreventionandmanagementofendoscopicretrogradecholangiopancreatographyrelatedduodenalperforation
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