-Duodenal perforation- During ERCP procedure -Review of literature
- 6,005 views
Post ERCP duodenal perforation is rare –but do occur in risky pts; and expertise is needed to know tricks and tips –of Ercp procedure --Best is to detect and confirm it but it is rare to ...
Post ERCP duodenal perforation is rare –but do occur in risky pts; and expertise is needed to know tricks and tips –of Ercp procedure --Best is to detect and confirm it but it is rare to detect it endoscopically .; recently post ERCp,prerforations can be treated during ERCP through endoccopically by hemoclip-endoloopd stents etc ;pts with signs of hemodynamic instability and peritonoits can be taken to Or after resuscitation and expected preparation ;–otherwise CT can with oral, contrast is mandatory to exclude or establish the disease; and also determine the type of management –when to observe when to operate-algorithm approach is there -More than 70 % can be managed non operatively--; Elderly pts carry high mortality for surgical intervention—also delay of more than 24 hours for surgical intervention carry high mortality so non operative treatment possibility with ct guided aspiration or endoscopic stenting’ laparoscopic closure ; and minimally invasive options as should be explored- best treatment is prevention; early detection; appropriate management and knowledge =update your knowledge periodically and hope for best
- Total Views
- Views on SlideShare
- Embed Views