Endoscopic papillary balloon dilatation (EPBD) after endoscopic sphincterotomy (ES)
is an effective technique to remove large common bile duct (CBD) stones.
1
,
2
Although the bleeding risk from EPBD is low, hemorrhage can be intraampullary and
thus challenging to visualize and treat.
3
Fully covered metal stents have been used to tamponade hemorrhage from ES and even
esophageal varices.
4
,
5
We describe 2 cases in which fully covered metal stents were successfully used to
treat intraductal bleeding secondary to EPBD.Abbreviations:
CBD (common bile duct), EPBD (endoscopic papillary balloon dilation), ES (endoscopic sphincterotomy)To read this article in full you will need to make a payment
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References
- Balloon dilation of the papilla after sphincterotomy: rescue therapy for difficult bile duct stones.Endoscopy. 2007; 39: 1023-1025
- Long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones.Gastrointest Endosc. 2010; 72: 1185-1191
- Endoscopic papillary balloon dilation for bile duct stone: immediate and long-term outcomes in 1000 patients.Clin Gastroenterol Hepatol. 2007; 5: 130-137
- Temporary self-expandable metal stent placement for treatment of post-sphincterotomy bleeding.Gastrointest Endosc. 2010; 72: 1274-1278
- A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center.Gastrointest Endosc. 2010; 71: 71-78
- A multicenter analysis of safety and outcome of removal of a fully covered self-expandable metal stent during ERCP.Gastrointest Endosc. 2011; 73: 1292-1297
Article info
Publication history
Published online: January 27, 2012
Identification
Copyright
© 2012 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
