OVESCO clip as a solution of an ERCP complication

Česká verzia

Authors: M. Wasserbauer; J. Lochmannová; R. Keil
Authors place of work: Interní klinika 2. LF UK a FN v Motole, Praha
Published in the journal: Gastroent Hepatol 2014; 68(6): 485-487
Category: Digestive Endoscopy: Case Report
doi: https://doi.org/10.14735/amgh2014485

Summary

Endoscopic retrograde cholangiopancreatography is an endoscopic technique which nowadays plays an irreplaceable role in the diagnostics and mainly in the therapy of diseases of the biliary system and pancreas. Despite its unquestionable benefits, ERCP is a mini-invasive, highly specialized method with a risk of very serious complications. Possible complications after therapeutic ERCP include perforation events. Although these complications are certainly not the most common ones, they seriously threaten the patient's life. In our case report, we describe the origin of a perforation event after therapeutic ERCP, when the duodeno-biliary drainage (in a patient with stenosis of the bile duct) left the bile duct and perforated the small intestine. We treated the perforation using the OVESCO clip immediately after recognizing it and thereby solved the situation.

Key words:
endoscopic retrograde cholangiopancreatography – biliary drainage – intestinal perforation – clip

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
29. 7. 2014

Accepted:
8. 9. 2014

Zdroje

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