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World J Clin Cases. Oct 16, 2014; 2(10): 522-527
Published online Oct 16, 2014. doi: 10.12998/wjcc.v2.i10.522
Endoscopic retrograde cholangiopancreatography-related perforation: Management and prevention
Varayu Prachayakul, Pitulak Aswakul
Varayu Prachayakul, Siriraj GI Endoscopy Center, Division of Gastroenterology, Department of Internal Medicine, Siriraj Hospital, Faculty of Medicine, Mahidol University, Bangkok 10700, Thailand
Pitulak Aswakul, Liver and Digestive Institute, SamitivejSukhumvit Hospital, Bangkok 10120, Thailand
Author contributions: Prachayakul V and Aswakul P contributed equally to this work; Prachayakul V designed the concept; Prachayakul V and Aswakul P reviewed the literature, wrote and revised the paper.
Correspondence to: Varayu Prachayakul, Assist Professor, Siriraj GI Endoscopy Center, Division of Gastroenterology, Department of Internal Medicine, Siriraj Hospital, Faculty of Medicine, Mahidol University, 7 Prannok Rd., Bangkoknoi, Bangkok 10700, Thailand. kaiyjr@gmail.com
Telephone: +66-2-4121088 Fax: +66-2-4199610
Received: May 1, 2014
Revised: July 7, 2014
Accepted: July 25, 2014
Published online: October 16, 2014
Processing time: 167 Days and 1.2 Hours
Core Tip

Core tip: Endoscopic retrograde cholangiopancreatography (ERCP)-related perforation, is a rare complication with a high morbidity and mortality. An immediate diagnosis and early management of ERCP-related perforation are key factors to minimize mortality. In this review article, the authors shared their experiences and propose an algorithm to avoid perforation and for management once a perforation occurs.