ArticlePloS one2014
Complications following endoscopic retrograde cholangiopancreatography: minimal invasive surgical recommendations.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Endoscopic retrograde cholangiopancreatography-related duodenal perforations: A systematic review and meta-analysis of management and outcomes.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025Pooled it
- Initial non-surgical versus upfront surgical management of ERCP-related perforations by Stapfer type: a systematic review and meta-analysis.Surgical endoscopy · 2026Article
- Incidence of Cholangitis in Post-Endoscopic Retrograde Cholangiopancreatography (ERCP): A Systematic Review and Meta-Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2026Review
- Results of endoscopic retrograde cholangiopancreatography procedures at surgical clinics: A multicenter observational study in Türkiye.World journal of gastrointestinal surgery · 2025Article
- Management of Stapfer Type II Perforations After Endoscopic Retrograde Cholangiopancreatography: A Retrospective Study.Journal of clinical practice and research · 2025Article
- Diagnosis and management of type II endoscopic retrograde cholangiopancreatography-related perforations: a multicenter retrospective study.BMC gastroenterology · 2024Article
- Post-endoscopic Retrograde Cholangiopancreatography Hemorrhagic Pancreatitis in a Young Female: A Case Report.Cureus · 2024Article
- Prospective evolution of body compositions based on bioelectrical impedance analysis and water intake on patients with gallstone.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Management of ERCP- and EUS-related duodenal perforations using over-the-scope clips.iGIE : innovation, investigation and insights · 2023Article
- ERCP-induced perforation: review and revisit after half a century.F1000Research · 2023Review
- 3D Laparoscopic common bile duct exploration with primary repair by absorbable barbed suture is safe and feasible.Journal of clinical and translational research · 2021Article
- Recent advances in prevention and management of endoscopic retrograde cholangiopancreatography-related duodenal perforation.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Review
- Effect of hospital teaching status on endoscopic retrograde cholangiopancreatography mortality and complications in the USA.Surgical endoscopy · 2021Article
- A Novel Cause of Biliary Peritonitis after Endoscopic Retrograde Cholangiopancreatography: Case Report and Literature Review.Case reports in gastrointestinal medicine · 2021Article
- Computed tomography classification of endoscopic retrograde cholangiopancreatography-related perforation.The Kaohsiung journal of medical sciences · 2020Article
- Prevalence of Anesthetic and Gastrointestinal Complications of Endoscopic Retrograde Cholangiopancreatography.Anesthesiology and pain medicine · 2019Article
- Management of iatrogenic injuries due to endoscopic sphincterotomy: Surgical or conservative approaches.Turkish journal of surgery · 2018Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundERCP has a complication rate ranging between 4% and 16% such as post-ERCP pancreatitis, hemorrhage, cholangitis and perforation. Perforation rate was reported as 0.08% to 1% and mortality rate up to 1.5%. Besides, injury related death rate is 16% to 18%. In this study we aimed to present a retrospective review of our experience with post ERCP-related perforations, reveal the type of injuries and management recommendations with the minimally invasive approaches.
methodsMedical records of 28 patients treated for ERCP-related perforations in Okmeydani Training and Research Hospital between March 2007 and March 2013 were reviewed retrospectively. Patient age, gender, comorbidities, ERCP indication, ERCP findings and details were analyzed. All previous and current clinical history, laboratory and radiological findings were used to assess the evaluation of perforations.
resultsBetween March 2007 and March 2013, 2972 ERCPs were performed, 28 (0.94%) of which resulted in ERCP-related perforations. 10 of them were men (35.8%) and 18 women (64.2%). Mean age was 53.36 ± 14.12 years with a range of 28 to 78 years. 14 (50%) patients were managed conservatively, while 14 (50%) were managed surgically. In 6 patients, laparoscopic exploration was performed due to the failure of non-surgical management. In 6 of the patients that ERCP-related perforation was suspected during or within 2 hours after ERCP, underwent to surgery primarily. There were two mortalities. The mean length of hospitalization stay was 10.46 ± 2.83 days. The overall mortality rate was 7.1%.
conclusionSuccessful management of ERCP-related perforation requires immediate diagnosis and early decision to decide whether to manage conservatively or surgically. Although traditionally conventional surgical approaches have been suggested for the treatment of perforations, laparoscopic techniques may be used in well-chosen cases especially in type II, III and IV perforations.
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