ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC CLOSURE OF IATROGENIC DUODENAL PERFORATION

ENDOSCOPIC CLOSURE OF IATROGENIC DUODENAL PERFORATION - DOUBLE TROUBLE DOUBLE CLOSURE

Video Transcription

Video Summary

A 47-year-old male with severe abdominal pain and breathlessness was diagnosed with acute biliary pancreatitis. During treatment, iatrogenic duodenal perforations occurred after a CBD sweep. Immediate surgical intervention posed a high risk, so endoscopic closure was attempted. The first, larger perforation was closed using a loop and clip technique, while the second was treated with an OTSC. Successful closure allowed for conservative management, with no signs of peritonitis and normalization of symptoms. The patient was discharged on the 14th day. Despite technical challenges, endoscopic closure of duodenal perforations is a viable option when surgery is high-risk.

Asset Subtitle

Sawan Bopanna

Keywords

acute biliary pancreatitis

iatrogenic duodenal perforations

endoscopic closure

loop and clip technique

OTSC