Three Cases of Surgical Drainage Treatment for Perforations Near the Duodenal Papilla following Endoscopic Retrograde Cholangiopancreatography

Key Points

• To evaluate the outcomes of surgical drainage treatment for duodenal papilla perforations following ERCP.
• Three cases of perforation during ERCP were managed with surgical drainage.
• Emergency surgery was performed on Case 1 without complications.
• Cases 2 and 3 underwent conservative treatment but required surgery after 50 hours due to lack of improvement.
• Surgical procedures included closure of perforation and placement of external drainage tubes.
• Case 1 had no postoperative complications after emergency surgery.
• Cases 2 and 3 developed intra-abdominal abscesses post-surgery but ultimately healed.
• The use of triple drainage strategy (bile, pancreatic, and gastrointestinal fluids) was effective.