Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...
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www.downst<strong>at</strong>esurgery.org<br />
Risk Factors for <strong>Duodenal</strong><br />
Perfor<strong>at</strong>ion<br />
• Risk factors for retroperitoneal perfor<strong>at</strong>ion:<br />
• Precut and larger sphincterotomies<br />
(particularly if cuts cre<strong>at</strong>ed outside the usual<br />
landmarks)<br />
• Small caliber bile duct<br />
• Presence <strong>of</strong> periampullary diverticulum<br />
• Intramural injection <strong>of</strong> contrast
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