title: [Successful Management of Periampullary Diverticular Bleeding with Hemoclipping Using Side-viewing Endoscope during Endoscopic Retrograde Cholangiopancreatography].
abstract: Periampullary diverticulum is commonly found during endoscopy and can occur at any age although its prevalence increases with age. Periampullary diverticular bleeding is a rare and difficult to diagnose during clinical practice because of its unique appearance and location. This often can lead to massive bleeding and interfere with adequate bleeding control. Endoscopic management on duodenal diverticular bleeding is limited compared to colonic diverticular bleeding due to lack of experience. Herein, we report a case of active bleeding from a periampullary diverticulum during bile duct stone extraction diagnosed by side-viewing endoscope and successfully controlled using hemoclips without any complications.
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Bo Geun
authors.initials: BG
authors.lastname: Park
authors.affiliation: Gastroenterology &Hepatobiliary Center and Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
authors.forename: Young Wook
authors.initials: YW
authors.lastname: Yoo
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Joon Cheol
authors.initials: JC
authors.lastname: Song
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Sung Hee
authors.initials: SH
authors.lastname: Gam
authors.affiliation: Gastroenterology &Hepatobiliary Center and Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
authors.forename: Mi Sung
authors.initials: MS
authors.lastname: Kim
authors.affiliation: Gastroenterology &Hepatobiliary Center and Department of Internal Medicine, Cheongju St. Mary's Hospital, Cheongju, Korea.
authors.forename: Byeong Seong
authors.initials: BS
authors.lastname: Ko
mesh_terms: D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004240:Diverticulum / Q000175:diagnosis* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed
keywords: Bleeding; Duodenoscope; Hemoclip; Periampullary diverticulum