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KMID : 0359020110420050334
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 5 p.334 ~ p.340
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Four Cases of Guidewire Induced Periampullary Perforation During Endoscopic Retrograde Cholangiopancreatography
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Lee Tae-Hoon
Park Sang-Heum
Son Bum-Suk
Jun Baek-Gyu
Eun Jun-Young
Kim Jae-Yun
Lee Sae-Hwan
Kim Sun-Joo
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Abstract
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Duodenal perforation associated with endoscopic retrograde cholangiopancreatography is very uncommon. However, it usually requires early diagnosis and surgical management. Perforations are commonly caused by endoscopic sphincterotomy, biliary or duodenal stent placement, guidewire-related causes, and endoscopy itself. Perforatioins can follow various clinical courses, and management depends on the cause of the perforation. Among the above causes, guidewire- induced perforation is very rare and related reports and analyses are limited. Herein we describe four cases of guidewire-induced periampullary perforation during endoscopic retrograde cholangiopancreatography, and analyze clinical characteristics and management.
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KEYWORD
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Endoscopic retrograde cholangiopancreatography, Guidewire, Perforation
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