SUCCESSFUL CLOSURE OF A LARGE TYPE I ERCP-RELATED PERFORATION WITH AN OVER-THE-SCOPE CLIP (OTSC) DEVICE: A VIDEO REPORT

M Velegraki; E Vardas; G Delibaltadakis; G Paspatis

doi:10.1055/s-0040-1704240

Endoscopy, Table of Contents

Endoscopy 2020; 52(S 01): S80
DOI: 10.1055/s-0040-1704240

ESGE Days 2020 oral presentations

Friday, April 24, 2020 08:30 – 10:30 ERCP complications Liffey Meeting Room 2

SUCCESSFUL CLOSURE OF A LARGE TYPE I ERCP-RELATED PERFORATION WITH AN OVER-THE-SCOPE CLIP (OTSC) DEVICE: A VIDEO REPORT

Authors

M Velegraki

¹Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
E Vardas

¹Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece
G Delibaltadakis

²Venizeleio General Hospital, Department of General Surgery, Heraklion, Greece
G Paspatis

¹Venizeleio General Hospital, Department of Gastroenterology, Heraklion, Greece

Abstract

Full Text

Duodenal perforations during ERCP are associated with high morbidity and mortality rates. Traditionally, duodenal perforations caused by the duodenoscope itself (Stapfer type I) have been treated surgically. The OTSC is already recommended for the treatment of iatrogenic perforations, but there is scarce data about its use related to ERCP-related duodenal perforations.

We present the case of a 91-year-old man, diagnosed with pancreatic head cancer, who underwent biliary stenting through ERCP. During the removal of the prophylactic pancreatic stent, a full-thickness defect of 20mm diameter was visible in the superior duodenal flexure. An OTSC successfully closed the perforation without further intervention.