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Temporary placement of a fully covered metal stent to tamponade bleeding from endoscopic papillary balloon dilation

Published:January 27, 2012DOI:https://doi.org/10.1016/j.gie.2011.10.010
      Endoscopic papillary balloon dilatation (EPBD) after endoscopic sphincterotomy (ES) is an effective technique to remove large common bile duct (CBD) stones.
      • Attasaranya S.
      • Sherman S.
      Balloon dilation of the papilla after sphincterotomy: rescue therapy for difficult bile duct stones.
      • Yasuda I.
      • Fujita N.
      • Maguchi H.
      • et al.
      Long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones.
      Although the bleeding risk from EPBD is low, hemorrhage can be intraampullary and thus challenging to visualize and treat.
      • Tsujino T.
      • Kawabe T.
      • Komatsu Y.
      • et al.
      Endoscopic papillary balloon dilation for bile duct stone: immediate and long-term outcomes in 1000 patients.
      Fully covered metal stents have been used to tamponade hemorrhage from ES and even esophageal varices.
      • Shah J.N.
      • Marson F.
      • Binmoeller K.F.
      Temporary self-expandable metal stent placement for treatment of post-sphincterotomy bleeding.
      • Wright G.
      • Lewis H.
      • Hogan B.
      • et al.
      A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center.
      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)
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      References

        • Attasaranya S.
        • Sherman S.
        Balloon dilation of the papilla after sphincterotomy: rescue therapy for difficult bile duct stones.
        Endoscopy. 2007; 39: 1023-1025
        • Yasuda I.
        • Fujita N.
        • Maguchi H.
        • et al.
        Long-term outcomes after endoscopic sphincterotomy versus endoscopic papillary balloon dilation for bile duct stones.
        Gastrointest Endosc. 2010; 72: 1185-1191
        • Tsujino T.
        • Kawabe T.
        • Komatsu Y.
        • et al.
        Endoscopic papillary balloon dilation for bile duct stone: immediate and long-term outcomes in 1000 patients.
        Clin Gastroenterol Hepatol. 2007; 5: 130-137
        • Shah J.N.
        • Marson F.
        • Binmoeller K.F.
        Temporary self-expandable metal stent placement for treatment of post-sphincterotomy bleeding.
        Gastrointest Endosc. 2010; 72: 1274-1278
        • Wright G.
        • Lewis H.
        • Hogan B.
        • et al.
        A self-expanding metal stent for complicated variceal hemorrhage: experience at a single center.
        Gastrointest Endosc. 2010; 71: 71-78
        • Kasher J.A.
        • Corasanti J.G.
        • Tarnasky P.R.
        • et al.
        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