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Iatrogenic Duodenal Injuries - Department of Surgery at SUNY ...

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www.downst<strong>at</strong>esurgery.org<br />

Post-ERCP Perfor<strong>at</strong>ion<br />

Management<br />

• Free abdominal duodenal perfor<strong>at</strong>ions usually<br />

require surgery<br />

• Conserv<strong>at</strong>ive approach to retroperitoneal<br />

perfor<strong>at</strong>ion following sphincterotomy has been<br />

adopted<br />

• Early surgical consult<strong>at</strong>ion and careful<br />

observ<strong>at</strong>ion is mand<strong>at</strong>ory<br />

• Outcome poor in p<strong>at</strong>ients who do not receive prompt and<br />

appropri<strong>at</strong>e tre<strong>at</strong>ment

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