Abstract
During a period of 8 years we managed ten patients with perforations resulting from endoscopic sphincterotomy. Four patients underwent operation within 24 h of the perforation, while six underwent operation later than 24 h. All the deaths and complications occurred in the latter group. Our experience underscores the importance of early diagnosis of perforation after endoscopic sphincterotomy and supports an aggressive surgical approach.
Keywords: Endoscopic sphincterotomy, Complications, Perforation
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bell R. C., Van Stiegmann G., Goff J., Reveille M., Norton L., Pearlman N. W. Decision for surgical management of perforation following endoscopic sphincterotomy. Am Surg. 1991 Apr;57(4):237–240. [PubMed] [Google Scholar]
- Byrne P., Leung J. W., Cotton P. B. Retroperitoneal perforation during duodenoscopic sphincterotomy. Radiology. 1984 Feb;150(2):383–384. doi: 10.1148/radiology.150.2.6691089. [DOI] [PubMed] [Google Scholar]
- Cotton P. B., Lehman G., Vennes J., Geenen J. E., Russell R. C., Meyers W. C., Liguory C., Nickl N. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991 May-Jun;37(3):383–393. doi: 10.1016/s0016-5107(91)70740-2. [DOI] [PubMed] [Google Scholar]
- Dunham F., Bourgeois N., Gelin M., Jeanmart J., Toussaint J., Cremer M. Retroperitoneal perforations following endoscopic sphincterotomy; clinical course and management. Endoscopy. 1982 May;14(3):92–96. doi: 10.1055/s-2007-1021589. [DOI] [PubMed] [Google Scholar]
- Hultén L., Lindhagen J., Lundgren O. Sympathetic nervous control of intramural blood flow in the feline and human intestines. Gastroenterology. 1977 Jan;72(1):41–48. [PubMed] [Google Scholar]
- Isozaki H., Okajima K., Mizutani H., Takeda Y. The successful surgical management of perforation after endoscopic sphincterotomy: report of two cases. Surg Today. 1993;23(11):1018–1022. doi: 10.1007/BF00308982. [DOI] [PubMed] [Google Scholar]
- Kuhlman J. E., Fishman E. K., Milligan F. D., Siegelman S. S. Complications of endoscopic retrograde sphincterotomy: computed tomographic evaluation. Gastrointest Radiol. 1989 Spring;14(2):127–132. doi: 10.1007/BF01889176. [DOI] [PubMed] [Google Scholar]
- Leese T., Neoptolemos J. P., Carr-Locke D. L. Successes, failures, early complications and their management following endoscopic sphincterotomy: results in 394 consecutive patients from a single centre. Br J Surg. 1985 Mar;72(3):215–219. doi: 10.1002/bjs.1800720325. [DOI] [PubMed] [Google Scholar]
- Neoptolemos J. P., Harvey M. H., Slater N. D., Carr-Locke D. L. Abdominal wall bile staining and 'biliscrotum' after retroperitoneal perforation following endoscopic sphincterotomy. Br J Surg. 1984 Sep;71(9):684–684. doi: 10.1002/bjs.1800710912. [DOI] [PubMed] [Google Scholar]
- Snyder W. H., 3rd, Weigelt J. A., Watkins W. L., Bietz D. S. The surgical management of duodenal trauma. Precepts based on a review of 247 cases. Arch Surg. 1980 Apr;115(4):422–429. doi: 10.1001/archsurg.1980.01380040050009. [DOI] [PubMed] [Google Scholar]