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HOME > Clin Endosc > Volume 42(5); 2011 > Article
Four Cases of Guidewire Induced Periampullary Perforation During Endoscopic Retrograde Cholangiopancreatography
Clinical Endoscopy 2011;42(5):334-340.
DOI: https://doi.org/
Published online: May 28, 2011
Department of Internal Medecine, Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
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Duodenal perforation associated with endoscopic retrograde cholangiopancreatography is very uncommon. However, it usually requires early diagnosis and surgical management. Perforations are commonly caused by endoscopic sphincterotomy, biliary or duodenal stent placement, guidewire-related causes, and endoscopy itself. Perforatioins can follow various clinical courses, and management depends on the cause of the perforation. Among the above causes, guidewire-induced perforation is very rare and related reports and analyses are limited. Herein we describe four cases of guidewire-induced periampullary perforation during endoscopic retrograde cholangiopancreatography, and analyze clinical characteristics and management. (Korean J Gastrointest Endosc 2011;42:334-340)


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