Perforaciones post colangiopancreatografía endoscópica retrógrada (CPRE). Manejo quirúrgico

  1. Mateo Retuerta, J.
  2. Chaveli Díaz, C.
  3. Goikoetxea Urdiain, A.
  4. Sainz Villacampa, B.
  5. Sara Ongay, M.J.
  6. Íñigo Noain, J.J.
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2017

Volume: 40

Issue: 1

Pages: 145-151

Type: Article

DOI: 10.23938/ASSN0014 DIALNET GOOGLE SCHOLAR

More publications in: Anales del sistema sanitario de Navarra

Sustainable development goals

Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) associated with sphincterotomy is a useful procedure that is widely used in cases of choledocholithiasis and bile duct obstruction. In spite of being a safe test, there is a risk of complications like pancreatitis, haemorrhaging or perforation.Post-ERCP duodenal perforation is a rare event but has serious consequences if it is not treated early. The lesion mechanism, the place and extension of the perforation, as well as the clinical picture and radiographic findings will guide patient management, which must be individualised and constantly reevaluated. Its mortality is closely related to diagnostic and therapeutic delay. In those cases where a conservative attitude is adopted, close vigilance will be maintained facing the possibility of a worsening of the clinical picture and a change in its management.

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Data source: Dialnet