Endoscopic hemoclip placement for postsphincterotomy bleeding refractory to injection therapy: report of two cases.
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.
Katsinelos
Panagiotis
P
Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece. pantso@the.forthnet.gr
Paroutoglou
George
G
Beltsis
Athanasios
A
Gouvalas
Aristidis
A
Mimidis
Kostas
K
Vlachakis
Ioannis
I
Chatzimavroudis
Grigoris
G
Papaziogas
Basilis
B
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
D014662:Vasoconstrictor Agents; D004837:Epinephrine