Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
www.downst<strong>at</strong>esurgery.org<br />
<strong>I<strong>at</strong>rogenic</strong> <strong>Duodenal</strong> <strong>Injuries</strong><br />
Classific<strong>at</strong>ion<br />
• Retroperitoneal duodenal perfor<strong>at</strong>ion<br />
• The most common<br />
• Usually occur as a result <strong>of</strong> a sphincterotomy th<strong>at</strong><br />
extends beyond the intramural portion <strong>of</strong> bile duct<br />
• Perfor<strong>at</strong>ion <strong>of</strong> the bile ducts<br />
• Usually occurs following dil<strong>at</strong>ion <strong>of</strong> strictures, forceful<br />
cannul<strong>at</strong>ion, guidewire insertion, or stent migr<strong>at</strong>ion<br />
• Free bowel-wall perfor<strong>at</strong>ion:<br />
• Rare, usually occurring in p<strong>at</strong>ients with a stricture or<br />
anomalous an<strong>at</strong>omy, such as Billroth II gastrectomy
Change language