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ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report

Duodenal perforation is one of the most serious complications of endoscopic retrograde cholangiopancreatography (ERCP) and is difficult to manage. Recently, endoscopic purse-string suture, using endoloops with endoclips, is a relatively new technology and has provided good clinical results. However,...

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Autores principales: Li, Quanpeng, Ji, Jie, Wang, Fei, Ge, Xianxiu, Nie, Junjie, Xu, Boming, Zhang, Xiuhua, Jiang, Guobing, Miao, Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Impact Journals LLC 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627350/
https://www.ncbi.nlm.nih.gov/pubmed/26068948
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author Li, Quanpeng
Ji, Jie
Wang, Fei
Ge, Xianxiu
Nie, Junjie
Xu, Boming
Zhang, Xiuhua
Jiang, Guobing
Miao, Lin
author_facet Li, Quanpeng
Ji, Jie
Wang, Fei
Ge, Xianxiu
Nie, Junjie
Xu, Boming
Zhang, Xiuhua
Jiang, Guobing
Miao, Lin
author_sort Li, Quanpeng
collection PubMed
description Duodenal perforation is one of the most serious complications of endoscopic retrograde cholangiopancreatography (ERCP) and is difficult to manage. Recently, endoscopic purse-string suture, using endoloops with endoclips, is a relatively new technology and has provided good clinical results. However, the study and use of endoscopic purse-string suture on duodenal perforation is less and its feasibility and safety are unknown. Here, we report a case of ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture. During ERCP, fluoroscopy revealed abnormal perinephric gas shadowing after breaking and extracting the stones with a stone-removal basket. Then duodenal endoscopy showed an approximately 2.0 cm × 1.5 cm perforation on the lateral duodenal wall, with visible retroperitoneal loose connective tissue. Titanium clips were used to attempt closure of the perforation but failed because of the long diameter of the injury. Therefore, an endoscopic purse-string suture, using endoloops with endoclips, was employed with an Olympus double-lumen endoscope. The perforation was successfully closed. At the 2-month follow-up visit, the patient had no complaints or symptoms. Our case once again proved its feasibility and safety and provided a new perspective for surgeons.
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spelling pubmed-46273502015-12-02 ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report Li, Quanpeng Ji, Jie Wang, Fei Ge, Xianxiu Nie, Junjie Xu, Boming Zhang, Xiuhua Jiang, Guobing Miao, Lin Oncotarget Case Report Duodenal perforation is one of the most serious complications of endoscopic retrograde cholangiopancreatography (ERCP) and is difficult to manage. Recently, endoscopic purse-string suture, using endoloops with endoclips, is a relatively new technology and has provided good clinical results. However, the study and use of endoscopic purse-string suture on duodenal perforation is less and its feasibility and safety are unknown. Here, we report a case of ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture. During ERCP, fluoroscopy revealed abnormal perinephric gas shadowing after breaking and extracting the stones with a stone-removal basket. Then duodenal endoscopy showed an approximately 2.0 cm × 1.5 cm perforation on the lateral duodenal wall, with visible retroperitoneal loose connective tissue. Titanium clips were used to attempt closure of the perforation but failed because of the long diameter of the injury. Therefore, an endoscopic purse-string suture, using endoloops with endoclips, was employed with an Olympus double-lumen endoscope. The perforation was successfully closed. At the 2-month follow-up visit, the patient had no complaints or symptoms. Our case once again proved its feasibility and safety and provided a new perspective for surgeons. Impact Journals LLC 2015-06-08 /pmc/articles/PMC4627350/ /pubmed/26068948 Text en Copyright: © 2015 Li et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Li, Quanpeng
Ji, Jie
Wang, Fei
Ge, Xianxiu
Nie, Junjie
Xu, Boming
Zhang, Xiuhua
Jiang, Guobing
Miao, Lin
ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
title ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
title_full ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
title_fullStr ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
title_full_unstemmed ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
title_short ERCP-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
title_sort ercp-induced duodenal perforation successfully treated with endoscopic purse-string suture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627350/
https://www.ncbi.nlm.nih.gov/pubmed/26068948
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