Az endoszkópos retrográd cholangiopancreatographia során kialakult perforációk típusai és kezelésük

Zoltán Völgyi, Mária Szenes, B. Gasztonyi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The authors discuss the incidence of perforation related to endoscopic retrograde cholangio-pancreatography, which is relatively uncommon (0.3-1%) among other types of complications. Perforations can be classified into three types based on their forms and locations. Having reviewed the literature the authors conclude that the most common type is periampullary perforation and the less frequent one is peritoneal perforation. The former usually heals after conservative treatment, while the latter needs an operation. The authors emphasize the important prognostic role of timely diagnosis and surgical treatment if alarming signs (peritoneal, septic) are present. Known predisposing factors, when the procedure needs more careful attention, are also summarized (postoperative status, needle knife papillectomy, intramural contrast media, long lasting examination). After reviewing their own cases, the authors establish that the incidence of perforation in their own centre was four per thousand (10/2400), out of which nine were periampullar and one peritoneal type. In 6 cases operation was necessary, and there was no mortality. The authors conclude that individually tailored therapy can largely reduce the 30-40% mortality rate reported in earlier studies. Orv. Hetil., 2014, 155(7), 248-254.

Original languageHungarian
Pages (from-to)248-254
Number of pages7
JournalOrvosi Hetilap
Volume155
Issue number7
DOIs
Publication statusPublished - Feb 1 2014

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Az endoszkópos retrográd cholangiopancreatographia során kialakult perforációk típusai és kezelésük. / Völgyi, Zoltán; Szenes, Mária; Gasztonyi, B.

In: Orvosi Hetilap, Vol. 155, No. 7, 01.02.2014, p. 248-254.

Research output: Contribution to journalArticle

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abstract = "The authors discuss the incidence of perforation related to endoscopic retrograde cholangio-pancreatography, which is relatively uncommon (0.3-1{\%}) among other types of complications. Perforations can be classified into three types based on their forms and locations. Having reviewed the literature the authors conclude that the most common type is periampullary perforation and the less frequent one is peritoneal perforation. The former usually heals after conservative treatment, while the latter needs an operation. The authors emphasize the important prognostic role of timely diagnosis and surgical treatment if alarming signs (peritoneal, septic) are present. Known predisposing factors, when the procedure needs more careful attention, are also summarized (postoperative status, needle knife papillectomy, intramural contrast media, long lasting examination). After reviewing their own cases, the authors establish that the incidence of perforation in their own centre was four per thousand (10/2400), out of which nine were periampullar and one peritoneal type. In 6 cases operation was necessary, and there was no mortality. The authors conclude that individually tailored therapy can largely reduce the 30-40{\%} mortality rate reported in earlier studies. Orv. Hetil., 2014, 155(7), 248-254.",
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