Endoscopic Closure of ERCP-related Duodenal Perforations by Using Endoclips: A Case Series

Duodenal wall perforations are traditionally managed surgically. There are isolated case reports or small case series reporting successful endoscopic closure of duodenal perforations. Endoscopic closure techniques include the use of endoclips, fibrin glue, and endoloops. Herein we report the largest series containing 4 cases of successful endoscopic closure of iatrogenic duodenal perforations related to endoscopic retrograde cholangiopancreatography by using endoclips and briefly review the endoscopic methods used in the closure of perforations in the light of current literature.

[1]  T. Rösch,et al.  Endoscopic closure of GI fistulae by using an over-the-scope clip (with videos). , 2010, Gastrointestinal endoscopy.

[2]  P. Bauerfeind,et al.  “Sparing the surgeon”: clinical experience with over-the-scope clips for gastrointestinal perforation , 2010, Endoscopy.

[3]  L. Johnson,et al.  Endoscopic management of iatrogenic duodenal perforation with linear-probe echoendoscope. , 2010, Gastroenterology & hepatology.

[4]  K. Murakami,et al.  Endoscopic closure of a large ERCP-related lateral duodenal perforation by using endoloops and endoclips. , 2010, Gastrointestinal endoscopy.

[5]  M. Vassiliou,et al.  Randomized controlled trial comparing endoscopic clips and over-the-scope clips for closure of natural orifice transluminal endoscopic surgery gastrotomies , 2009, Endoscopy.

[6]  A. Watson,et al.  Endoscopic closure of iatrogenic duodenal perforation during EUS in a patient with unusual anatomy. , 2008, Gastrointestinal endoscopy.

[7]  M. Krausz,et al.  Validity of clinical criteria in the management of endoscopic retrograde cholangiopancreatography related duodenal perforations. , 2007, Archives of surgery.

[8]  M. Schurr,et al.  A new endoscopic over-the-scope clip system for treatment of lesions and bleeding in the GI tract: first clinical experiences. , 2007, Gastrointestinal endoscopy.

[9]  G. Costamagna,et al.  Successful endoscopic closure of a lateral duodenal perforation at ERCP with fibrin glue. , 2006, Gastrointestinal endoscopy.

[10]  S. Sebastian,et al.  Endoscopic closure of iatrogenic duodenal perforation during endoscopic ultrasound. , 2006, Endoscopy.

[11]  Kazuyuki Suzuki,et al.  NEW ENDOSCOPIC TECHNIQUE TO CLOSE LARGE MUCOSAL DEFECTS AFTER ENDOSCOPIC MUCOSAL RESECTION IN PATIENTS WITH GASTRIC MUCOSAL TUMORS , 2004 .

[12]  Aline Charabaty-Pishvaian,et al.  Endoscopic treatment of duodenal perforation using a clipping device: case report and review of the literature. , 2004, Southern medical journal.

[13]  D. Seibert Use of an Endoscopic Clipping Device to Repair a Duodenal Perforation , 2003, Endoscopy.

[14]  S. Mosca Is ERCP a safe procedure, but for experts only? , 2002, Endoscopy.

[15]  R. Enns,et al.  ERCP-Related Perforations: Risk Factors and Management , 2002, Endoscopy.

[16]  I. Hirata,et al.  Closure of an esophageal perforation due to fish bone ingestion by endoscopic clip application. , 2000, Gastrointestinal endoscopy.

[17]  L. Rosés,et al.  Clip closure of a duodenal perforation secondary to a biliary stent. , 2000, Gastrointestinal endoscopy.

[18]  R. Selby,et al.  Management of Duodenal Perforation After Endoscopic Retrograde Cholangiopancreatography and Sphincterotomy , 1998, Annals of surgery.

[19]  K. Kopecky,et al.  Classification and management of perforations complicating endoscopic sphincterotomy. , 1999, Surgery.

[20]  T. Akamatsu,et al.  Nonsurgical treatment of duodenal perforation by endoscopic repair using a clipping device. , 1999, Gastrointestinal endoscopy.

[21]  P. Fina,et al.  Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. , 1998, Gastrointestinal endoscopy.

[22]  H. Goto,et al.  Endoscopic repair by clipping of iatrogenic colonic perforation. , 1997, Gastrointestinal endoscopy.

[23]  N. Soehendra,et al.  Endoscopic closure of a perforation using metallic clips after snare excision of a gastric leiomyoma. , 1993, Gastrointestinal endoscopy.

[24]  C Liguory,et al.  Endoscopic sphincterotomy complications and their management: an attempt at consensus. , 1991, Gastrointestinal endoscopy.