title: Endoscopic hemoclip placement for postsphincterotomy bleeding refractory to injection therapy: report of two cases.
abstract: Bleeding is a serious complication of patients undergoing endoscopic sphincterotomy and is the most common sphincterotomy-associated cause of death. Two patients presented bleeding after endoscopic sphincterotomy. Despite injection treatment with large amounts of epinephrine (1:10,000), the bleeding was uncontrolled. Hemostasis was achieved by placing 2 and 3 hemoclips, respectively at the bleeding site. Our cases suggest that postsphincterotomy bleeding refractory to injection treatment can be safely and effectively controlled by endoscopic hemoclipping, thereby avoiding surgery.
authors.affiliation: Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece. pantso@the.forthnet.gr
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: George
authors.initials: G
authors.lastname: Paroutoglou
authors.forename: Athanasios
authors.initials: A
authors.lastname: Beltsis
authors.forename: Aristidis
authors.initials: A
authors.lastname: Gouvalas
authors.forename: Kostas
authors.initials: K
authors.lastname: Mimidis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Vlachakis
authors.forename: Grigoris
authors.initials: G
authors.lastname: Chatzimavroudis
authors.forename: Basilis
authors.initials: B
authors.lastname: Papaziogas
mesh_terms: D000368:Aged; D004837:Epinephrine / Q000627:therapeutic use; D004867:Equipment Design; D005260:Female; D016558:Hemostasis, Endoscopic / Q000295:instrumentation*; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects*; D017211:Treatment Failure; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine