| Autor: |
Ali Abd Allah, Ahmed Mohamed, Osman, Samy Mohamed, Mohamed Hussein, Khaled Hassaan, Abd Allah Hussein, Ahmed Mohamed, Mohamed Rizk, Mohamed Ahmed |
| Předmět: |
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| Zdroj: |
Surgical Chronicles; Jan-Mar2023, Vol. 28 Issue 1, p31-35, 5p |
| Abstrakt: |
Background: ERCP is a relatively safe endoscopic procedure; however, there is the potential for severe, life-threatening complications Aim and objectives: This clinical audit aim was to identify the gap between the management strategy of post ERCP duodenal perforation in Assiut university hospitals and the ideal practice "the guidelines published by the American society for Gastrointestinal endoscopy (ASGE) and to set recommendations for appropriate management strategy of post ERCP duodenal perforation to improve patient care and minimize morbidity and mortality. Patients and methods: The current study was conducted at Department of General Surgery of Assiut University Hospitals with reviewing the medical records of patients with post-ERCP duodenal perforation. It was done in period between 2018 and 2021. Results: All those patients had pneumoperitoneum and duodenal leakage. Only three patients had free collection. Regarding the surgical intervention; it was primary repair (100%), CBD exploration (100%), T-tube exploration (100%), duodenal exclusion (30.8%) and/or gastro-jejunostomy (30.8%). Conclusion: Accurate diagnosis and timely intervention are very important in patients with post-ERCP duodenal perforation. Clinical symptoms, imaging methods, and the mechanism of injury should be evaluated, and all these parameters should be considered before deciding whether to operate. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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