Temporary self-expandable metal stent placement for treatment of post-sphincterotomy bleeding - 13/08/11
Reprint requests: Janak N. Shah, MD, Interventional Endoscopy Services, California Pacific Medical Center, 2351 Clay Street, Stanford Building, Suite 600, San Francisco, CA 94115Résumé |
Background |
Endoscopic sphincterotomy (ES) is a basic technique for performing therapeutic interventions during ERCP. Bleeding after ES is a recognized complication and can be difficult to treat.
Objective |
To evaluate the role of temporary placement of fully covered self-expandable metal stents (SEMSs) for the treatment of difficult-to-control post-ES hemorrhage.
Design |
Retrospective case series.
Setting |
Interventional endoscopy unit at a tertiary care referral hospital.
Patients |
Five patients treated with temporary SEMSs for difficult-to-control post-ES hemorrhage.
Interventions |
ERCP with placement of fully covered, biliary SEMSs and subsequent stent removal within 8 weeks.
Main Outcome Measurements |
Technical success of SEMS placement, clinical success with hemostasis, complications related to SEMS placement and removal.
Results |
Five patients were treated with temporary fully covered SEMSs for post-ES hemorrhage over an 8-month period. Hemostasis was achieved in all patients. Within 8 weeks of the procedure, the SEMSs were easily removed in 3 patients; the SEMSs had spontaneously migrated without incident in the other 2. No other complications were seen.
Limitations |
Retrospective series with a small number of patients.
Conclusions |
Temporary placement of fully covered SEMSs across the biliary orifice seems to be an effective treatment for post-ES hemorrhage. However, stent migration is a concern and may limit this therapy in certain settings.
Le texte complet de cet article est disponible en PDF.Abbreviations : ES, SEMS
Plan
| DISCLOSURE: All authors disclosed no financial relationships relevant to this publication. |
Vol 72 - N° 6
P. 1274-1278 - décembre 2010 Retour au numéro
Article précédent
- A new partially covered metal stent for palliation of malignant dysphagia: a prospective follow-up study
- Petra G. van Boeckel, Peter D. Siersema, Richard Sturgess, Laura Dwyer, Isaac Raijman, Meike M. Hirdes, Frank P. Vleggaar
- EUS-guided biliary drainage with a fully covered metal stent as a novel route for natural orifice transluminal endoscopic biliary interventions: a pilot study (with videos)
- Junbum Eum, Do Hyun Park, Choong Heon Ryu, Hong Jun Kim, Sang Soo Lee, Dong Wan Seo, Sung Koo Lee, Myung-Hwan Kim
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