scholarly journals Computed tomography classification of endoscopic retrograde cholangiopancreatography‐related perforation

2019 ◽  
Vol 36 (2) ◽  
pp. 129-134
Author(s):  
Jhong‐Han Wu ◽  
Hong‐Ming Tsai ◽  
Chiung‐Yu Chen ◽  
Yao‐Sheng Wang
Keyword(s):  
Computed Tomography ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Endoscopic Retrograde

scholarly journals Mistakes in the management of acute pancreatitis and how to avoid them

2017 ◽  
Vol 36 (2) ◽  
pp. 38-44
Author(s):  
G. Beyer ◽  
P. Simon ◽  
J. Mayerle ◽  
M. Lerch
Keyword(s):  
Computed Tomography ◽  
Acute Pancreatitis ◽  
Antibiotic Prophylaxis ◽  
Digestive Tract ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Infusion Therapy ◽  
Endoscopic Retrograde ◽  
International Guidelines ◽  
Suitable Amount

The article analyzes the most common mistakes in the observation and management of patients with acute pancreatitis. Analysis of mistakes is based on modern international guidelines and results of research. In particular, suitable amount of infusion therapy is considered, as well as terms of and indications for endoscopic retrograde cholangiopancreatography and computed tomography, indications for endoscopic and surgical invasions, the benefits of antibiotic prophylaxis and creation of rest for digestive tract are counted.

Diagnostic Value of Serum Amylase Levels Indicating Computed Tomography–Defined Post–Endoscopic Retrograde Cholangiopancreatography Pancreatitis

Pancreas ◽  
2020 ◽  
Vol 49 (7) ◽  
pp. 955-959
Author(s):  
Osamu Inatomi ◽  
Shigeki Bamba ◽  
Yoshitaka Nakai ◽  
Kiyonori Kusumoto ◽  
Takumi Kawakami ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Serum Amylase ◽  
Diagnostic Value ◽  
Endoscopic Retrograde

scholarly journals Successful Endoscopic Management of Double Iatrogenic Perforations Induced by Endoscopic Retrograde Cholangiopancreatography and Computed Tomography-Guided Colon Drainage

2019 ◽  
Vol 13 (1) ◽  
pp. 1-5
Author(s):  
Ping-Hsiu Wu ◽  
Jui-Hao Chen ◽  
Kuang-En Chu
Keyword(s):  
Computed Tomography ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Careful Consideration ◽  
High Rate ◽  
Colon Perforation ◽  
Endoscopic Management ◽  
Abdominal Abscess ◽  
Endoscopic Retrograde ◽  
Endoscopic Clipping

Endoscopic retrograde cholangiopancreatography (ERCP) is a high-risk procedure with a significantly high rate of complications, such as pancreatitis, bleeding, perforation, and infection. Pancreatitis is the most common post-ERCP complication with an incidence of approximately 3.5%. Although perforation is a rare complication with an incidence of 0.1–0.6%, it may be associated with a high rate of mortality of 1.0–1.5%. Here, we report a rare case of ERCP-induced double iatrogenic perforations in the duodenum and colon complicated by an intra-abdominal abscess. The post-ERCP perforation was successfully sealed using fibrin glue (Tisseel). The intra-abdominal abscess was treated with a computed tomography-guided pigtail drainage; however, the pigtail spontaneously migrated and perforated the ascending colon. The pigtail was removed, and closure of the colon perforation was successfully achieved with endoscopic clipping. Tisseel spray can be a treatment option for post-ERCP perforations. Careful consideration of procedural complications, early detection of perforations, and prompt treatment can be life-saving.

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