Araujo-López A, Arteaga-Villalba LR, Aburto-Fernández MC, López-Arvizu EA, Hernández-García AD, Flores-Yáñez R, Ruiz-Centeno G, Espinosa-Cerón A, Sánchez-Guzmán Y

Language: Spanish
References: 0
Page: 59-63
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ABSTRACT

Introduction: Endoscopic retrograde cholangiography (ERCP) is currently an important tool in its diagnostic and therapeutic modality in biliary and pancreatic disorders. The complication rate ranges from 5.4 to 23%: acute pancreatitis (3.5%), post sphincterotomy haemorrhage (1.3%), perforation (0.3-6%), cholangitis (‹%). Clinical case: A 72-year-old woman with multiple comorbidities, admitted for a cholangitis due to high risk of choledocholithiasis, it was decided to perform an ERCP, complying 24 hours after a duodenal perforation, intervened; managed with a duodenal bypass with 3 probes, seven days after the postsurgical develops duodenal fistula with low controlled expenditure during its full period of maturation; by means of endoscopy it is tried to close, without achieving it, at eight weeks it presents an acute myocardial infarction for which we had the death. Discussion: By developing the ERCP study as an opportune, relatively safe therapeutic procedure, it can have a number of complications in its development. Within the rates of complications oscillate in 5 to 23%, where the perforations of the duodenum is of 0.3-6%, however the surgical management is only low class I of the classification of Stapfer. Conclusion: Post-ERCP perforations are becoming less frequent due to the operator’s learning curve; however, they must be considered and, in addition, the operator must identify it and be able to describe an adequate management.