Endoscopic closure of ERCP-related duodenal perforations by using endoclips: a case series.

Duodenal wall perforations are traditionally managed surgically. There are isolated case reports or small case series reporting successful endoscopic closure of duodenal perforations. Endoscopic closure techniques include the use of endoclips, fibrin glue, and endoloops. Herein we report the largest series containing 4 cases of successful endoscopic closure of iatrogenic duodenal perforations related to endoscopic retrograde cholangiopancreatography by using endoclips and briefly review the endoscopic methods used in the closure of perforations in the light of current literature.