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Endoscopia
On-line version ISSN 2444-6483Print version ISSN 0188-9893
Abstract
CAMPOS-BADILLO, Julio Adan et al. Manejo actual de las perforaciones duodenales relacionadas a la colangiografía retrograda endoscópica. Una revision Sistemática. Endoscopia [online]. 2019, vol.31, suppl.2, pp.306-307. Epub Feb 14, 2022. ISSN 2444-6483. https://doi.org/10.24875/end.m19000116.
Introduction:
It is reported that the complications related to endoscopic retrograde endoscopy (ERCP) are as high as 12%, the rate of intestinal perforation related to ERCP is 0.3 to 1.0%. and is related to a mortality of up to 25%. The purpose of this study is to analyze treatment strategies and the results of patients with perforations related to ERCP.
Material and methods:
A systematic review was performed in the databases EMBASE and MEDLINE were searched from 2016 to November 2019 through the use of the MeSH terms.
Results:
The total number of patients with duodenal perforation treated between 2016 and 2019 was 332, in relation to the total number of ERCP performed with a perforation rate. it was 0.6%. The rate of non-surgical treatment was lower in type I Stapfer perforations (13%), and very high in type III and IV lesions (84.2%). Other types of perforations showed an increase in non-surgical management as in type II 58.1%. In patients undergoing early surgical treatment (<24 h from ERCP). The postoperative mortality was higher in the patients operated on late, I feel in general of 11.44%.
Conclusions:
This systematic review showed a tendency towards conservative management, either endoscopic or percutaneous, in comparison with surgical treatment.
Keywords : Duodenal perforations; Endoscopic retrograde cholangiopancreatography (RCP-related duodenal); Surgical procedures operative; Intestinal perforation.
