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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 />

• The mechanism <strong>of</strong> injury during ERCP predicts the<br />

need for surgical management<br />

• Type I and type II injuries require early diagnosis<br />

and aggressive surgery<br />

• Type III and type IV injuries may be managed<br />

conserv<strong>at</strong>ively

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