Published online Nov 16, 2014. doi: 10.12998/wjcc.v2.i11.689
Revised: August 25, 2014
Accepted: September 16, 2014
Published online: November 16, 2014
Endoscopic retrograde cholangiopancreatography (ERCP) has become the mainstay of treatment in hepato-pancreato-biliary disease. However, ERCP requires a high level of technical skills and experience in therapeutic endoscopy, there is always a risk of complications. Especially, the perforation per se affects the patient adversely, and the clinical course may lead to a poor prognosis, even with appropriate management. The treatments for ERCP-related perforation are diverse, depending on the location and mechanism of the bowel perforation and the time of diagnosis. Thus, we reviewed the appropriate surgical and non-surgical management options for therapeutic ERCP-related perforations, especially, evaluating metallic stenting as a treatment modality in perivaterian perforation.
Core tip: Although the evidence supporting the use of fully covered self-expandable metallic stent in perivaterian perforations is still insufficient, the clinical outcomes were encouraging.