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KMID : 0985520130180030046
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 3 p.46 ~ p.51
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A Case of ERCP-Related Perforation Treated by Endoscopy in a Patient with Billroth II Anastomosis
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Cho Yu-Jung
Song Tae-June
Chang Han-Eol
Lee Hyuk
Bae Won-Ki
Kim Nam-Hoon
Kim Kyung-Ah
Lee June-Sung
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Abstract
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Endoscopic retrograde cholangiopancreatography (ERCP) has become widely available for the diagnosis and treatment of various pancreaticobiliary diseases. ERCP is a relatively safe endoscopic procedure, however, there is the potential severe, life-threatening complications including pancreatitis, hemorrhage and perforation. ERCP-related perforation, which has been reported as 0.3 to 0.6%, are a rare but serious complication. The management of ERCP-related perforations has been controversial, but the diagnosis of perforations remote from the papilla may be frequently delayed and typically require surgery. We reported a case of ERCP-related bowel perforation successfully treated by endoscopy using multiple hemoclips
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KEYWORD
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endoscopic retrograde cholangiopancreatography, Billroth II operation, clips, fibrin glue
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