Management of ERCP- and EUS-related duodenal perforations using over-the-scope clips

TL;DR

This paper discusses the successful use of over-the-scope clips to manage rare but serious duodenal perforations caused by ERCP and EUS procedures.

Contribution

The paper introduces the use of over-the-scope clips as a first-line tool for closing ERCP- and EUS-related perforations.

Findings

Three cases of ERCP- and EUS-related perforations were successfully managed with over-the-scope clips.

OTSCs are effective for closing larger perforations and fistulas in endoscopic procedures.

Early recognition and management of perforations improve patient outcomes.

Abstract

EUS and ERCP are widely used for the evaluation and management of various pancreatobiliary conditions. They are generally regarded as safe procedures. Perforation is a rare but life-threatening adverse event of EUS and ERCP. Here we present 3 cases of ERCP- and EUS-related perforations that were successfully managed with over-the-scope clips (OTSCs). This work highlights the importance of early recognition and management of post-ERCP and -EUS perforations to ensure the best outcome possible. OTSCs have expanded the ability to close larger perforations and fistulas and could be considered a first-line tool for endoscopic closure of ERCP- and EUS-related perforations.

Figures