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Post ercp perforation 2016

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miguel chavez

We review diagnosis, management, treatment (medical, endoscopic and surgical) , prognosis, prevention and different algorithms about post ERCP perforation

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POST ERCP PERFORATION REVIEW MANAGEMENT ALGORITHM TREATMENT PROGNOSIS UPDATE 2016 MIGUEL CHAVEZ ROSSELL MD ARZOBISPO LOAYZA HOSPITAL LIMA PERU
EPIDEMIOLOGY  Perforation rates with ERCP range from 0.1% to 0.6%  Risk Factors: - Sphincterotomy - Billroth II anatomy - The intramural injection of contrast - Prolonged duration of procedure - Biliary stricture dilation - SOD - Malignancy - Precut access Complications of ERCP
There is no consensus in the treatment of this complication Treatment and prognosis depends on 1. Type of perforation 2. Delayed diagnosis 3. Experience in the management of the complication (surgical team) 4. Advanced endoscopic technology Should be considered early diagnosis of post-ERCP perforation, when performed during ERCP, or in the recovery room. CONCLUSIONS

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Post ercp perforation 2016

  • 1. POST ERCP PERFORATION REVIEW MANAGEMENT ALGORITHM TREATMENT PROGNOSIS UPDATE 2016 MIGUEL CHAVEZ ROSSELL MD ARZOBISPO LOAYZA HOSPITAL LIMA PERU
  • 2. EPIDEMIOLOGY  Perforation rates with ERCP range from 0.1% to 0.6%  Risk Factors: - Sphincterotomy - Billroth II anatomy - The intramural injection of contrast - Prolonged duration of procedure - Biliary stricture dilation - SOD - Malignancy - Precut access Complications of ERCP
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  • 59. There is no consensus in the treatment of this complication Treatment and prognosis depends on 1. Type of perforation 2. Delayed diagnosis 3. Experience in the management of the complication (surgical team) 4. Advanced endoscopic technology Should be considered early diagnosis of post-ERCP perforation, when performed during ERCP, or in the recovery room. CONCLUSIONS