title: Biliary hemostasis using an endoscopic plastic stent placement for uncontrolled hemobilia caused by transpapillary forceps biopsy (with video).
abstract: A 78-year-old woman was referred to our hospital for the examination and treatment of jaundice. A transpapillary forceps biopsy for a long distal bile duct stricture was performed using endoscopic retrograde cholangiopancreatography. Immediately after the biopsy, massive bleeding was observed from the orifice of the papilla. Although hemobilia was pulsatile, an endoscopic biliary plastic stent placement was very effective in achieving hemostasis. However, a nasal biliary catheter was required because a blood clot clogged the stent on the following day. Although covered self-expandable metal stent (CSEMS) placement has been reported for achieving endoscopic hemostasis for bleeding, we chose to use a plastic stent to reduce the risk of post-procedure pancreatitis. The placement of both an endoscopic biliary plastic stent and a nasobiliary drainage catheter can be an alternative hemostatic tool to CSEMSs.
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan.
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Shinjo
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan. h.matsubayashi@scchr.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Matsubayashi
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Matsui
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan.
authors.forename: Noboru
authors.initials: N
authors.lastname: Kawata
authors.affiliation: Hepato-Biliary-Pancreas Surgery, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan.
authors.forename: Sunao
authors.initials: S
authors.lastname: Uemura
authors.affiliation: Hepato-Biliary-Pancreas Surgery, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Division of Endoscopy, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ono
mesh_terms: D000368:Aged; D001706:Biopsy / Q000009:adverse effects* / Q000379:methods; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D006431:Hemobilia / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D007441:Intubation, Gastrointestinal; D010969:Plastics; D015607:Stents; D013927:Thrombosis / Q000628:therapy
chemical_list: D010969:Plastics
keywords: Biliary hemorrhage; ENBD; Forceps biopsy; Hemostasis; Plastic stent