# 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.

## Key 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.