title: Post-biliary sphincterotomy bleeding despite covered metallic stent deployment.
abstract: OBJECTIVE
  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.
  
  
  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.
authors.affiliation: Unité d'Endoscopie Interventionnelle, Ramsay Générale de Santé, Hôpital Privé des Peupliers, Paris, France.
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Donatelli
authors.affiliation: Department of General Surgery Paride Stefanini, Interventional Endoscopy Unit, Sapienza University of Rome, Rome, Italy.
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Cereatti
authors.affiliation: Unité d'Endoscopie Interventionnelle, Ramsay Générale de Santé, Hôpital Privé des Peupliers, Paris, France.
authors.forename: Jean-Loup
authors.initials: JL
authors.lastname: Dumont
authors.affiliation: Department of General and Laparoscopic Surgery, Lilavati Hospital and Research Center, Mumbai, India.
authors.forename: Parag
authors.initials: P
authors.lastname: Dhumane
authors.affiliation: Unité d'Endoscopie Interventionnelle, Ramsay Générale de Santé, Hôpital Privé des Peupliers, Paris, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Tuszynski
authors.affiliation: Unité d'Endoscopie Interventionnelle, Ramsay Générale de Santé, Hôpital Privé des Peupliers, Paris, France.
authors.forename: Bertrand Marie
authors.initials: BM
authors.lastname: Vergeau
authors.affiliation: Unité d'Endoscopie Interventionnelle, Ramsay Générale de Santé, Hôpital Privé des Peupliers, Paris, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Meduri
keywords: Bleeding; covered self-expandable metal stent; endoscopic sphincterotomy; self-expandable metal stent