Lo Cheng Hean, Chung Stephen, Bohmer Robert D
Department of General Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia.
Surg Laparosc Endosc Percutan Tech. 2008 Dec;18(6):608-10. doi: 10.1097/SLE.0b013e318185a07a.
Endoscopic retrograde cholangiopancreatography (ERCP) plays an important diagnostic and potentially therapeutic role in the management of a broad range of biliary and pancreatic disorders. However, it is an invasive procedure with an associated complication rate in the vicinity of 5% to 15% and mortality rate of 1%. We present an unusual case of a patient who sustained a stent-related duodenal perforation after undergoing ERCP. We reviewed the current literature in regard to risk factors, etiology, diagnosis, management, and prognosis of ERCP-related perforations, aiming to provide a brief, updated overview of this devastating complication.
内镜逆行胰胆管造影术（ERCP）在多种胆道和胰腺疾病的管理中发挥着重要的诊断和潜在治疗作用。然而，它是一种侵入性操作，相关并发症发生率在5%至15%左右，死亡率为1%。我们报告了一例不同寻常的病例，一名患者在接受ERCP后发生了与支架相关的十二指肠穿孔。我们回顾了当前关于ERCP相关穿孔的危险因素、病因、诊断、管理和预后的文献，旨在对这种毁灭性并发症提供一个简要的最新概述。
