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 />
Perfor<strong>at</strong>ions following endoscopic retrograde<br />
cholangiopancre<strong>at</strong>ography: a single institution experience<br />
and surgical recommend<strong>at</strong>ions<br />
Rafi Miller, M.D. ,Andrew Zbar, M.D.. Yoram Klein, M.D., Victor Buyeviz, M.D., Ehud<br />
Melzer, M.D., Bruce N. Mosenkis, M.D., Eli Mavor, M.D.<br />
The American Journal <strong>of</strong> <strong>Surgery</strong> (2013) 206, 180-186<br />
• 70% performed for therapeutic indic<strong>at</strong>ions.<br />
• 5 type I, 12 type II, 5 type III, 5 type IV perfor<strong>at</strong>ions<br />
• 18 cases diagnosed <strong>at</strong> the time <strong>of</strong> ERCP<br />
• Delayed diagnosis <strong>of</strong> type I perfor<strong>at</strong>ions were f<strong>at</strong>al<br />
• Most type II perfor<strong>at</strong>ions required immedi<strong>at</strong>e surgery with<br />
pyloric exclusion<br />
• Delayed surgery with simple drainage had a high mortality<br />
r<strong>at</strong>e<br />
• Most type III and type IV injuries can successfully be<br />
managed conserv<strong>at</strong>ively
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