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dc.contributor.authorKoc, Bora
dc.contributor.authorBircan, Huseyin Yuce
dc.contributor.authorAdas, Gokhan
dc.contributor.authorKemik, Ozgur
dc.contributor.authorAkcakaya, Adem
dc.contributor.authorYavuz, Alpaslan
dc.contributor.authorKarahan, Servet
dc.date.accessioned2019-12-11T17:40:16Z
dc.date.available2019-12-11T17:40:16Z
dc.date.issued2014
dc.identifier.issn1932-6203
dc.identifier.urihttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0113073&type=printable
dc.identifier.urihttp://hdl.handle.net/11727/4403
dc.description.abstractBackground: ERCP 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. Methods: Medical 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. Results: Between 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 ERC-Prelated 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%. Conclusion: Successful 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.en_US
dc.language.isoengen_US
dc.relation.isversionof10.1371/journal.pone.0113073en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCOMMON BILE-DUCTen_US
dc.subjectDUODENAL PERFORATIONen_US
dc.subjectRETROPERITONEAL PERFORATIONen_US
dc.subjectPROSPECTIVE MULTICENTERen_US
dc.subjectTHERAPEUTIC ERCPen_US
dc.subjectRISK-FACTORSen_US
dc.subjectSPHINCTEROTOMYen_US
dc.subjectMANAGEMENTen_US
dc.subjectPANCREATICOBILIARYen_US
dc.subjectEXPLORATIONen_US
dc.titleComplications Following Endoscopic Retrograde Cholangiopancreatography: Minimal Invasive Surgical Recommendationsen_US
dc.typearticleen_US
dc.relation.journalPLOS ONEen_US
dc.identifier.volume9en_US
dc.identifier.issue11en_US
dc.identifier.wos000349145400031en_US
dc.identifier.scopus2-s2.0-84912082666en_US
dc.contributor.pubmedID25426633en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US


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