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 />
Clasific<strong>at</strong>ion Post-ERCP<br />
Perfor<strong>at</strong>ion<br />
• Type I:<br />
• L<strong>at</strong>eral or the medial duodenal wall remote from the ampulla<br />
• Caused by acute angul<strong>at</strong>ion <strong>of</strong> the endoscope<br />
• Typically large with extensive contrast leakage<br />
• Requires immedi<strong>at</strong>e surgery<br />
• Type II:<br />
• Peri-V<strong>at</strong>erian<br />
• Variable in their severity<br />
• Consequent to a precut sphincterotomy or occurring near a<br />
periampullary diverticulum<br />
• Minimal or moder<strong>at</strong>e contrast leakage<br />
• Some may be able to be managed conserv<strong>at</strong>ively<br />
Miller et al. Perfor<strong>at</strong>ions following endoscopic retrograde cholangiopancre<strong>at</strong>ography: a single institution experience and<br />
surgical recommend<strong>at</strong>ions. Am J Surg. 2013 Aug;206(2):180-6
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