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Donatelli G, Cereatti F, Dumont JL, et al. Post-biliary sphincterotomy bleeding despite covered metallic stent deployment. SAGE Open Med Case Rep. 2016;4:2050313X16645756doi: 10.1177/2050313X16645756.
Donatelli, G., Cereatti, F., Dumont, J. L., Dhumane, P., Tuszynski, T., Vergeau, B. M., & Meduri, B. (2016). Post-biliary sphincterotomy bleeding despite covered metallic stent deployment. SAGE open medical case reports, 42050313X16645756. https://doi.org/10.1177/2050313X16645756
Donatelli, Gianfranco, et al. "Post-biliary sphincterotomy bleeding despite covered metallic stent deployment." SAGE open medical case reports vol. 4 (2016): 2050313X16645756. doi: https://doi.org/10.1177/2050313X16645756
Donatelli G, Cereatti F, Dumont JL, Dhumane P, Tuszynski T, Vergeau BM, Meduri B. Post-biliary sphincterotomy bleeding despite covered metallic stent deployment. SAGE Open Med Case Rep. 2016 May 05;4:2050313X16645756. doi: 10.1177/2050313X16645756. eCollection 2016. PMID: 27489716; PMCID: PMC4927213.
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SAGE Open Med Case Rep. 2016 May 05;4:2050313X16645756. doi: 10.1177/2050313X16645756. eCollection 2016.

Post-biliary sphincterotomy bleeding despite covered metallic stent deployment.

SAGE open medical case reports

Gianfranco Donatelli, Fabrizio Cereatti, Jean-Loup Dumont, Parag Dhumane, Thierry Tuszynski, Bertrand Marie Vergeau, Bruno Meduri

Affiliations

  1. Unité d'Endoscopie Interventionnelle, Ramsay Générale de Santé, Hôpital Privé des Peupliers, Paris, France.
  2. Department of General Surgery Paride Stefanini, Interventional Endoscopy Unit, Sapienza University of Rome, Rome, Italy.
  3. Department of General and Laparoscopic Surgery, Lilavati Hospital and Research Center, Mumbai, India.

PMID: 27489716 PMCID: PMC4927213 DOI: 10.1177/2050313X16645756

Abstract

OBJECTIVES: Several endoscopic techniques have been proposed for the management of post-sphincterotomy bleeding. Lately, self-expandable metal stents deployment has gained popularity especially as a rescue therapy when other endoscopic techniques fail.

METHODS-RESULTS: We report the case report of a massive post-sphincterotomy bleeding in a patient with a self-expandable metal stent in the biliary tree. Despite the presence of a correctly positioned self-expandable metal stent, a new endoscopic session was required to control the bleeding.

CONCLUSIONS: Self-expandable metal stent may be useful to manage post-endoscopic sphincterotomy bleeding. However, up to now there is no specifically designed self-expandable metal stent for such complication. Large new designed self-expandable metal stent may be a useful tool for biliary endoscopist.

Keywords: Bleeding; covered self-expandable metal stent; endoscopic sphincterotomy; self-expandable metal stent

References

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