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Four Cases of Guidewire Induced Periampullary Perforation During Endoscopic Retrograde Cholangiopancreatography  

Lee, Tae-Hoon (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Park, Sang-Heum (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Son, Bum-Suk (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Jun, Baek-Gyu (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Eun, Jun-Young (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Kim, Jae-Yun (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Lee, Sae-Hwan (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Kim, Sun-Joo (Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine)
Publication Information
Clinical Endoscopy / v.42, no.5, 2011 , pp. 334-340 More about this Journal
Abstract
Duodenal perforation associated with endoscopic retrograde cholangiopancreatography is very uncommon. However, it usually requires early diagnosis and surgical management. Perforations are commonly caused by endoscopic sphincterotomy, biliary or duodenal stent placement, guidewire-related causes, and endoscopy itself. Perforatioins can follow various clinical courses, and management depends on the cause of the perforation. Among the above causes, guidewire- induced perforation is very rare and related reports and analyses are limited. Herein we describe four cases of guidewire-induced periampullary perforation during endoscopic retrograde cholangiopancreatography, and analyze clinical characteristics and management.
Keywords
Endoscopic retrograde cholangiopancreatography; Guidewire; Perforation;
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Times Cited By KSCI : 2  (Citation Analysis)
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