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 />
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 />
• The interval between the perfor<strong>at</strong>ion and the oper<strong>at</strong>ion is<br />
<strong>of</strong> gre<strong>at</strong> significance<br />
• The mortality r<strong>at</strong>e increases dram<strong>at</strong>ically with l<strong>at</strong>e<br />
surgical management (>24 hours)<br />
• Clinical and radiographic fe<strong>at</strong>ures can be used to<br />
determine the surgical or conserv<strong>at</strong>ive tre<strong>at</strong>ment <strong>of</strong><br />
ERCP-rel<strong>at</strong>ed duodenal perfor<strong>at</strong>ions<br />
• P<strong>at</strong>ient age and intraoper<strong>at</strong>ive findings can determined<br />
the final outcome and morbidity or mortality
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