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Journals / The European Research Journal / 2026 / Volume: 10 Issue: 1

Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent

İdris Kurt(Department of Gastroenterology, Kastamonu Training and Research Hospital, Kastamonu, Turkey)0000-0001-5966-1055
Pages
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Publication Date
2024-01-04
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present a patient who was successfully treated with a self-expandable metal stent (SEMS) without the need for surgery or any complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Perforations after endoscopic retrograde colangiopancreatography (ERCP) are divided into four types.
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Key Findings & Data:Type 1 refers to the duodenum, type 2 the periampullary region, type 3 the bile duct itself, and type 4 the observation of retroperitoneal free air on cross-sectional imaging.
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Conclusion & Impact:We present a patient who was successfully treated with a self-expandable metal stent (SEMS) without the need for surgery or any complications.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Biliary · perforation · self-expandable metal stent

Abstract

Perforations after endoscopic retrograde colangiopancreatography (ERCP) are divided into four types. Type 1 refers to the duodenum, type 2 the periampullary region, type 3 the bile duct itself, and type 4 the observation of retroperitoneal free air on cross-sectional imaging. The treatment of type 2 biliary perforations remains debatable. We present a patient who was successfully treated with a self-expandable metal stent (SEMS) without the need for surgery or any complications.

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Cite This Article

Kurt, İ. (2024). Type 2 biliary perforation successfully managed with early insertion of self-expandable metal stent. The European Research Journal, Volume: 10 Issue: 1. https://doi.org/10.18621/eurj.1256002

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References (5)

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  2. Stapfer M, Selby RR, Stain SC, et al. Management of duodenal perforation after endoscopic retrograde cholangiopancreatography and sphincterotomy. Ann Surg. 2000;232(2):191-198. doi: 10.1097/00000658-200008000-00007.
  3. Tovar FG, Mendoza SJ, Velandia CC, López L C. [Case report of rescue therapy for bile duct perforation using fully covered self-expanding metal stent after failure of conservative management]. Rev Colomb Gastroenterol 2018;33:74-79. doi:10.22516/25007440.235. [Article in Spanish]
  4. Odemis B, Oztas E, Kuzu UB, et al. Can a Fully Covered Self-Expandable Metallic Stent be Used Temporarily for the Management of Duodenal Retroperitoneal Perforation During ERCP as a Part of Conservative Therapy? Surg Laparosc Endosc Percutan Tech. 2016;26(1):9-17. doi: 10.1097/SLE.0000000000000240.
  5. Bozbiyik O, Cetin B, Gumus T, Tekin F, Uguz A. Fully covered self-expandable metal stent for intraprocedural or late-diagnosed Type-II endoscopic retrograde cholangiopancreatography-related perforations. BMC Gastroenterol. 2022;22(1):385. doi: 10.1186/s12876-022-02466-9.