[Other] Clinical Outcomes in Eight Cases of ERCP-Related Perforation at Our Institution Copy

Endoscopic retrograde cholangiopancreatography (ERCP) is an indispensable procedure for the diagnosis and treatment of pancreatobiliary diseases; however, duodenal perforation is a potential complication that can be fatal. Over a 9-year period at our institution, we have encountered eight cases of ERCP-related duodenal perforation. Conservative management was employed in five of the eight cases, while surgical intervention was required in the remaining three cases. In one patient, the clinical condition remained unchanged despite initial surgery, with the patient eventually requiring pancreatoduodenectomy for survival. Duodenal perforations associated with ERCP are classified according to the Stapfer classification (Types I–Ⅳ) based on the site and mechanism of perforation, and treatment algorithms based on this classification have been proposed. Based on our institutional experience, we have reviewed and discussed the role of surgical management, with reference to the relevant literature.