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

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

Management <strong>of</strong> endoscopic retrograde<br />

cholangiopancre<strong>at</strong>ography: rel<strong>at</strong>ed duodenal perfor<strong>at</strong>ions<br />

Dimitrios V. Avgerinos, Omar H. Llaguna, Andrew Y. Lo, Joseph Voli, I. Michael Leitman<br />

Surg Endosc (2009) 23:833–838<br />

• 4,358 ERCP<br />

• 15 (0.34%) resulted in perfor<strong>at</strong>ion to the<br />

duodenum<br />

• 4 <strong>of</strong> the perfor<strong>at</strong>ions were discovered during<br />

ERCP<br />

• 8 required CT abdomen or abdominal<br />

radiography<br />

• <strong>Surgery</strong> was performed for 13 (87%) p<strong>at</strong>ients<br />

• 2 p<strong>at</strong>ients died (15%)

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