Placement of covered self-expandable metal biliary stent for the treatment of severe postsphincterotomy bleeding

Outcomes of two cases

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13 Citations (Scopus)

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.

Original languageEnglish
Article number138748
JournalGastroenterology Research and Practice
DOIs
Publication statusPublished - 2010

Fingerprint

Hemorrhage
Stents
Therapeutics
Pediatrics
Hemostasis
Self Expandable Metallic Stents
Injections

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

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title = "Placement of covered self-expandable metal biliary stent for the treatment of severe postsphincterotomy bleeding: Outcomes of two cases",
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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AU - Di Pisa, Marta

AU - Tarantino, Ilaria

AU - Barresi, Luca

AU - Cintorino, Davide

AU - Traina, Mario

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AB - 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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