Immediate detection of endoscopic retrograde cholangiopancreatography-related periampullary perforation: Fluoroscopy or endoscopy?

doi:10.3748/wjg.v20.i42.15797

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Nov 14, 2014; 20(42): 15797-15804
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15797

Table 1 Clinical characteristics of endoscopic retrograde cholangiopancreatography-related perforation cases

No	Age/Sex	Indications	Perforation site	Type	Mechanisms of perforation	Insufflation	Detection (Time in minutes)	Diagnostic modality	Management	Length of hospital stay after perforation, in days
1	70/M	CBD stone	Afferent loop (Billroth-II)	I	Endoscope	Room air	Immediate (0)	Endoscope	Immediate surgery	16
2	84/F	CBD stone	Periampullary	II	EST	Room air	Immediate (15)	Fluoroscope	Surgery	56
3	97/F	CBD stone	Periampullary	III	Endoscopic instrument	Room air	Immediate (46)	Fluoroscope	ERBD	64
4	70/F	CBD stone	Periampullary	II	EST/EPBD	CO₂	Immediate (20)	Fluoroscope	Surgery	41
5	57/M	CBD stone	Periampullary	II	EST	CO₂	Immediate (4)	Fluoroscope	ENBD	13
6	90/F	CBD stone	Periampullary	II	EPLBD	CO₂	Immediate (3)	Fluoroscope	ENBD	22

CBD: Common bile duct; ENBD: Endoscopic nasobiliary drainage; EPBD: Endoscopic papillary balloon dilation; EPLBD: Endoscopic papillary large-balloon dilation; ERBD: Endoscopic retrograde biliary drainage; EST: Endoscopic sphincterotomy.

Citation: Motomura Y, Akahoshi K, Gibo J, Kanayama K, Fukuda S, Hamada S, Otsuka Y, Kubokawa M, Kajiyama K, Nakamura K. Immediate detection of endoscopic retrograde cholangiopancreatography-related periampullary perforation: Fluoroscopy or endoscopy? World J Gastroenterol 2014; 20(42): 15797-15804
URL: https://www.wjgnet.com/1007-9327/full/v20/i42/15797.htm
DOI: https://dx.doi.org/10.3748/wjg.v20.i42.15797