Placement of covered self-expandable metal biliary stent for the treatment of severe postsphincterotomy bleeding: outcomes of two cases.

Gastroenterology Research and Practice
Marta Di PisaMario Traina

Abstract

We report two cases of severe postsphincterotomy bleeding in an adult and a pediatric patient treated, as first options, with available techniques to induce hemostasis without success. Because of persisting bleeding, an expandable, partially covered, metallic stent was placed into the choledocho to mechanically compress the bleeding site. The bleeding was stopped. In the following days, both patients remained hemodynamically stable with no further episodes of bleeding. We believe that the application of a covered metallic stent in a severe postendoscopic-sphincterotomy bleeding, refractory to injection therapy, should be considered to avoid additional interventions, which carry a higher risk of complications, even in pediatric patients.

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Citations

Nov 21, 2012·Clinics and Research in Hepatology and Gastroenterology·Erkan ParlakBurhan Şahin
May 25, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Frank Weilert, Kenneth F Binmoeller
Aug 5, 2016·SAGE Open Medical Case Reports·Gianfranco DonatelliBruno Meduri
Feb 21, 2014·F1000Research·Anthony T Debenedet, Grace H Elta

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Methods Mentioned

BETA
mechanical dilation

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