Pneumothorax complicating endoscopic sphincterotomy successfully treated conservatively
| Journal | Volume 69 - 2006 |
| Issue | Fasc.3 - Letters |
| Author(s) | Emmanuel E. Lagoudianakis, Dimitrios Tsekouras, Artemisia Papadima, Michael Genetzakis, Michael Pattas, Panagiotis Giannopoulos, Manousos M. Konstadoulakis, Andreas Manouras |
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| First Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, Athens, Greece ; Department of Anesthesiology, Hippocrateion Hospital, Athens, Greece. |
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Endoscopic retrograde cholangiopancreatography is an invasive procedure routinely performed for the diag- nosis and treatment of biliary and pancreatic diseases. Pneumothorax complicating endoscopic sphincterotomy is an exceedingly rare complication while the appropri- ate management of this clinical situation remains con- troversial. Duodenal perforation occurs in 1.1% of ERCP procedures and is associated with certain risk fac- tors namely precut sphincterotomy, length and direction of sphincterotomy, multiple attempts and a short intra- mural segment of the distal CBD (1-6). |
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