Immediate detection of endoscopic retrograde cholangiopancreatography-related periampullary perforation: Fluoroscopy or endoscopy?

doi:10.3748/wjg.v20.i42.15797

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 20, Issue 42

This Article

Academic Content and Language Evaluation of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Number of Hits and Downloads for This Article

Total Article Views (8152)

All Articles published online

The chart showing PDF series, WORD series, HTML series, Figures (1-4) series, Tables (1-2) series.

Item

Count

PDF

671

WORD

212

HTML

4499

Figures (1-4)

264

Tables (1-2)

150

Sum=5796

Publishing Process of This Article

The chart showing Browse series, Download series.

Item

Count

Browse

1092

Download

1264

Sum=2356

Nov 14, 2014 (publication date) through Apr 19, 2024

Times Cited of This Article

Times Cited (8)

Journal Information of This Article

Publication Name

World Journal of Gastroenterology

ISSN

1007-9327

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Observational Study

World J Gastroenterol. Nov 14, 2014; 20(42): 15797-15804
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15797

Immediate detection of endoscopic retrograde cholangiopancreatography-related periampullary perforation: Fluoroscopy or endoscopy?

Yasuaki Motomura, Kazuya Akahoshi, Junya Gibo, Kenji Kanayama, Shinichiro Fukuda, Shouhei Hamada, Yoshihiro Otsuka, Masaru Kubokawa, Kiyoshi Kajiyama, Kazuhiko Nakamura

Yasuaki Motomura, Kazuya Akahoshi, Junya Gibo, Kenji Kanayama, Shinichiro Fukuda, Shouhei Hamada, Yoshihiro Otsuka, Masaru Kubokawa, Department of Gastroenterology, Aso Iizuka Hospital, Iizuka 820-8505, Japan

Kiyoshi Kajiyama, Department of Surgery, Aso Iizuka Hospital, Iizuka 820-8505, Japan

Kazuhiko Nakamura, Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan

Author contributions: Motomura Y designed the research; Motomura Y, Gibo J, Kanayama K, Fukuda S, Hamada S, Otsuka Y, Kubokawa M, and Kajiyama K analyzed the data and interpreted the findings; Motomura Y drafted the article; Akahoshi K and Nakamura K revised the article for important intellectual content.

Correspondence to: Yasuaki Motomura, MD, PhD, Department of Gastroenterology, Aso Iizuka Hospital, 3-83 Yoshio-machi, Iizuka 820-8505, Japan. yasumm@gmail.com

Telephone: +81-948-223800 Fax: +81-948-298747

Received: March 20, 2014
Revised: May 17, 2014
Accepted: June 26, 2014
Published online: November 14, 2014

Core Tip

Core tip: Duodenal perforation is a rare complication of endoscopic retrograde cholangiopancreatography (ERCP) with potentially life-threatening consequences. Early diagnosis and management is key to reducing patient morbidity and mortality, yet intraoperative detection of periampullary perforations is difficult even with video-equipped endoscope systems. In our 71-mo experience of performing ERCP, only six perforation cases occurred, five of which were undetected by intraoperative video endoscopy and required digital fluoroscopy for detection. Thus, fluoroscopic detection of retroperitoneal free air or contrast medium leakage can aid in intraoperative diagnosis and timely management of ERCP-related perforations.