Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases
We report two cases of severe postsphincterotomy bleeding in an adult and a pediatric patient treated, as first options, with available techniques to induce hemostasis without success. Because of persisting bleeding, an expandable, partially covered, metallic stent was placed into the choledocho t...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/138748 |
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| author | Marta Di Pisa Ilaria Tarantino Luca Barresi Davide Cintorino Mario Traina |
| author_facet | Marta Di Pisa Ilaria Tarantino Luca Barresi Davide Cintorino Mario Traina |
| author_sort | Marta Di Pisa |
| collection | DOAJ |
| description | We report two cases of severe postsphincterotomy bleeding in an adult and a pediatric patient treated, as first options, with available techniques to induce hemostasis without success. Because of persisting bleeding, an expandable, partially covered, metallic stent was placed into the choledocho to mechanically compress the bleeding site. The bleeding was stopped. In the following days, both patients remained hemodynamically stable with no further episodes of bleeding. We believe that the application of a covered metallic stent in a severe postendoscopic-sphincterotomy bleeding, refractory to injection therapy, should be considered to avoid additional interventions, which carry a higher risk of complications, even in pediatric patients. |
| format | Article |
| id | doaj-art-ea958d451b7b4cd8b55cf2fb4769a934 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-ea958d451b7b4cd8b55cf2fb4769a9342025-02-03T05:49:21ZengWileyGastroenterology Research and Practice1687-61211687-630X2010-01-01201010.1155/2010/138748138748Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two CasesMarta Di Pisa0Ilaria Tarantino1Luca Barresi2Davide Cintorino3Mario Traina4Gastroenterology Service, IsMeTT, UPMC, Via Tricomi 1, 90146 Palermo, ItalyGastroenterology Service, IsMeTT, UPMC, Via Tricomi 1, 90146 Palermo, ItalyGastroenterology Service, IsMeTT, UPMC, Via Tricomi 1, 90146 Palermo, ItalyGastroenterology Service, IsMeTT, UPMC, Via Tricomi 1, 90146 Palermo, ItalyGastroenterology Service, IsMeTT, UPMC, Via Tricomi 1, 90146 Palermo, ItalyWe report two cases of severe postsphincterotomy bleeding in an adult and a pediatric patient treated, as first options, with available techniques to induce hemostasis without success. Because of persisting bleeding, an expandable, partially covered, metallic stent was placed into the choledocho to mechanically compress the bleeding site. The bleeding was stopped. In the following days, both patients remained hemodynamically stable with no further episodes of bleeding. We believe that the application of a covered metallic stent in a severe postendoscopic-sphincterotomy bleeding, refractory to injection therapy, should be considered to avoid additional interventions, which carry a higher risk of complications, even in pediatric patients.http://dx.doi.org/10.1155/2010/138748 |
| spellingShingle | Marta Di Pisa Ilaria Tarantino Luca Barresi Davide Cintorino Mario Traina Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases Gastroenterology Research and Practice |
| title | Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases |
| title_full | Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases |
| title_fullStr | Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases |
| title_full_unstemmed | Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases |
| title_short | Placement of Covered Self-Expandable Metal Biliary Stent for the Treatment of Severe Postsphincterotomy Bleeding: Outcomes of Two Cases |
| title_sort | placement of covered self expandable metal biliary stent for the treatment of severe postsphincterotomy bleeding outcomes of two cases |
| url | http://dx.doi.org/10.1155/2010/138748 |
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