A novel surgical technique for repairing duodenal and bile duct perforations following endoscopic retrograde cholangiopancreatography.

Bibliographic Details
Title:	A novel surgical technique for repairing duodenal and bile duct perforations following endoscopic retrograde cholangiopancreatography.
Authors:	Abdirahman, Hana¹ (AUTHOR), Barakat, Omar¹ (AUTHOR), Nichols, Alexis¹ (AUTHOR), Soares, Oluwatobi¹ (AUTHOR), Mortus, Jared¹ (AUTHOR), Chen, Vivi¹ (AUTHOR)
Source:	Journal of Surgical Case Reports. Feb2025, Vol. 2025 Issue 2, p1-3. 3p.
Subject Terms:	ENDOSCOPIC retrograde cholangiopancreatography, BILE ducts, PYLORIC stenosis, OPERATIVE surgery, *GALLSTONES
Abstract:	Duodenal perforation (DP), though rare, is a severe complication of Endoscopic retrograde cholangiopancreatography (ERCP) with high mortality rates. This report introduces a novel surgical approach for repairing a complex combined bile duct and duodenal perforation. A 37-year-old male with recurrent pyloric stenosis and choledocholithiasis, previously treated with multiple procedures, presented with gastric outlet and bile duct obstruction. Following a complex ERCP, he developed a large combined duodenal and bile duct perforation requiring urgent surgical intervention. A 40% circumferential duodenal perforation combined with bile duct perforation was repaired using a novel approach: a vascularized isolated distal gastric pouch was created and anastomosed to the duodenal and bile duct defects. A Roux-en-Y gastrojejunostomy was performed, and the patient recovered in stable condition. When traditional reconstruction is not feasible for DP, an isolated, vascularized distal gastric pouch offers a less invasive alternative and reduces the risk of morbidity. [ABSTRACT FROM AUTHOR]
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More Details
ISSN:	20428812
DOI:	10.1093/jscr/rjaf050
Published in:	Journal of Surgical Case Reports
Language:	English