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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jun 16, 2014; 6(6): 260-265
Published online Jun 16, 2014. doi: 10.4253/wjge.v6.i6.260
Published online Jun 16, 2014. doi: 10.4253/wjge.v6.i6.260
Endoscopic treatment of duodenal fistula after incomplete closure of ERCP-related duodenal perforation
Dong Wook Yu, Man Yong Hong, Seung Goun Hong, Department of Internal Medicine, SAM Anyang Hospital, Gyeonggi 430-733, South Korea
Author contributions: Yu DW and Hong MY treated the patient and collected the patient’s clinical data; Hong SG supervised the two doctors, designed and wrote the case report.
Correspondence to: Seung Goun Hong, MD, Department of Internal Medicine, SAM Anyang Hospital, 613-9 Anyang 5 dong, Manan-gu, Gyeonggi 430-733, South Korea. permi@naver.com
Telephone: +82-31-4679114 Fax: +82-31-4490151
Received: February 19, 2014
Revised: May 8, 2014
Accepted: May 16, 2014
Published online: June 16, 2014
Processing time: 117 Days and 1.1 Hours
Revised: May 8, 2014
Accepted: May 16, 2014
Published online: June 16, 2014
Processing time: 117 Days and 1.1 Hours
Core Tip
Core tip: In this report, a patient developed a secondary persistent duodenal fistula following an incomplete endoscopic closure of endoscopic retrograde cholangiopancreatography-related duodenal perforation with hemoclips and an endoloop. The fistula was successfully managed by further endoscopic treatment with additional clipping and fibrin glue injection. This case emphasizes that endoscopists should remain aware of the possibility for a secondary persistent fistula formation due to incomplete closure when long-standing fluctuating free air is detected after endoscopic treatment of bowel perforation.