Gastrointestinal perforations are rare, but severe, complications in endoscopic procedures and they have traditionally been treated through surgery. Endoscopic perforation treatment has been achieved through the use of clips. However, all clips have limitations with respect to the amount of tissue they can hold together, the number of clips that can be used, and their usefulness in inflamed tis...

Gastrointestinal perforations are rare, but severe, complications in endoscopic procedures and they have traditionally been treated through surgery. Endoscopic perforation treatment has been achieved through the use of clips. However, all clips have limitations with respect to the amount of tissue they can hold together, the number of clips that can be used, and their usefulness in inflamed tis...

The ideal treatment for the perforation of duodenal ulcer has not yet been established. Accepted methods vary from simple closure to immediate definitive surgery. Simple closure is the general standard procedure against which other methods are evaluated. It is simple, safe and effective for the treatment of emergency problem but provides no protection on long term basis. Several studies have sh...

BACKGROUND Management of endoscopic retrograde cholangiopancreatography (ERCP)-associated duodenal perforation remains controversial. Some recommend surgery, while others recommend conservative treatment. METHODS A retrospective chart review was conducted to identify patients treated at our institution for ERCP-related duodenal perforations. Study variables included indication for ERCP, clini...

AIM Retrospective analysis of experience with management of external duodenal fistula (EDF) without using total parenteral nutrition (TPN). METHOD Medical records of 31 patients with EDF following closure of duodenal ulcer perforation, treated over a 7-year period (1994-2001), were studied. Twenty-one patients (68%) had evidence of sepsis at presentation or during the course of treatment. Non...

A 66-year-old woman presented with a nonhealing duodenal ulcer after undergoing Helicobacter pylori eradication therapy for 1 week and proton pump inhibitor treatment for 4 months. Repeat endoscopy showed the duodenal ulcer with a whitishmucous coating and somewhitish discharge over the bulb. The mucous coating retracted upward with breathing (●" Fig.1). Abdominal sonography revealed gallstones...