Management of post-ERCP duodenal perforations: experience at Hospital Juárez de México.

Cirugia y cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.22000299

Jaime E Cruz-López, Rafael Guzmán-Aguilar, María A Conde-Mora, Levi A Méndez-Ramírez

{"title":"Management of post-ERCP duodenal perforations: experience at Hospital Juárez de México.","authors":"Jaime E Cruz-López, Rafael Guzmán-Aguilar, María A Conde-Mora, Levi A Méndez-Ramírez","doi":"10.24875/CIRU.22000299","DOIUrl":null,"url":null,"abstract":"Background: Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic study in which the duodenum is observed laterally, and the bile duct is instrumented. There are several indications and complications in the procedure.Objective: To determine the incidence of duodenal perforations, using the Stapfer classification in the Hospital Juárez de Mexico over a period of 5 years, as well as the management implemented in such cases.Method: The study was carried out at the Hospital Juárez de Mexico of the Ministry of Health. All patients who underwent ERCP between January 1, 2017, to May 30, 2022 were included.Results: 485 ERCP were performed in the study period. Incidence of 1.6% post-ERCP duodenal perforation. The average age of the subjects 56.37 years. In-hospital stay of post-ERCP perforations averaged 9.37 days. The time of the endoscopic study at the time of the surgical procedure is 10 h on average.Conclusions: Post-ERCP duodenal perforation is a complication that occurs with a low incidence, it tends to increase the number of days of in-hospital stay and increases morbimortality of patients; therefore, it is important to be always alert.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia y cirujanos","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24875/CIRU.22000299","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic study in which the duodenum is observed laterally, and the bile duct is instrumented. There are several indications and complications in the procedure.

Objective: To determine the incidence of duodenal perforations, using the Stapfer classification in the Hospital Juárez de Mexico over a period of 5 years, as well as the management implemented in such cases.

Method: The study was carried out at the Hospital Juárez de Mexico of the Ministry of Health. All patients who underwent ERCP between January 1, 2017, to May 30, 2022 were included.

Results: 485 ERCP were performed in the study period. Incidence of 1.6% post-ERCP duodenal perforation. The average age of the subjects 56.37 years. In-hospital stay of post-ERCP perforations averaged 9.37 days. The time of the endoscopic study at the time of the surgical procedure is 10 h on average.

Conclusions: Post-ERCP duodenal perforation is a complication that occurs with a low incidence, it tends to increase the number of days of in-hospital stay and increases morbimortality of patients; therefore, it is important to be always alert.

查看原文本刊更多论文

ERCP术后十二指肠穿孔的处理：墨西哥华雷斯医院的经验。

背景：内镜逆行胰胆管造影术（ERCP）是一种内镜检查方法，可从侧面观察十二指肠，并对胆管进行器械检查。该手术有多种适应症和并发症：确定墨西哥华雷斯医院 5 年来十二指肠穿孔的发生率（采用 Stapfer 分类法）以及对此类病例采取的处理方法：研究在墨西哥卫生部华雷斯医院进行。所有在 2017 年 1 月 1 日至 2022 年 5 月 30 日期间接受 ERCP 的患者均被纳入研究范围：研究期间共进行了 485 例 ERCP。ERCP术后十二指肠穿孔发生率为1.6%。受试者平均年龄 56.37 岁。ERCP术后十二指肠穿孔的平均住院时间为9.37天。手术过程中的内镜检查时间平均为 10 小时：结论：ERCP术后十二指肠穿孔是一种发生率较低的并发症，它往往会增加患者的住院天数和死亡率；因此，必须时刻保持警惕。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cirugia y cirujanos

自引率

0.00%

发文量