Department of DNB Gastroenterology, Government Medical College Srinagar, J&K, India
Commentary
Incidence, Clinical Presentation and Management of Type IV Perforations After
Sphincterotomy Among Post Ercp Patients
Author(s): Intikhab Maqboo*, Asif Rafiq, Meenu chaudhary and S. A. Kadla
ERCP related perforation is an endoscopic emergency. Presence of retroperitoneal air after ERCP always is not an indication for emergency surgery. Aim of this study is to determine the incidence of Type IV perforations and management of patients with Type IV perforation.
Methods
This is a prospective hospital based study, in these study 111 consecutive patients after fulfilling the inclusion and exclusion criteria were enrolled.
Results
Incidence of Type IV perforation in the study is 7.2%. All patients with Type IV perforation were managed conservatively.
Conclusion
ERCP related Type IV perforations occur in a significant number of patients undergoing ERCP. Patients in whom an ERCP related perforation is suspected should undergo an urgent CECT abdomen with oral contrast to r.. View More»
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