Abstract:
:Eleven patients with retroperitoneal perforation complicating endoscopic management of bile duct obstruction were seen over a seven-year period. In nine patients endoscopic sphincterotomy or pre-cut papillotomy had been performed, but in two who had not undergone sphincterotomy perforation occurred because of the penetration of a guidewire during attempts to negotiate a malignant bile duct stricture. Eight out of eleven patients remained asymptomatic, and all recovered with conservative management. Asymptomatic retroperitoneal perforation can complicate therapeutic ERCP even when sphincterotomy is not performed, but conservative management is usually effective if the complications is recognized immediately.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Martin DF,Tweedle DEdoi
10.1055/s-2007-1012833subject
Has Abstractpub_date
1990-07-01 00:00:00pages
174-5issue
4eissn
0013-726Xissn
1438-8812journal_volume
22pub_type
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