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Related Experiment Video

Updated: Jun 10, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Embolotherapy in massive post sphincterotomy bleed.

Bishav Mohan¹, Sandeep Singh Sidhu, Omesh Goyal

¹Hero DMC Heart Institute, Unit-DMC and Hospital, Tagore Nagar, Ludhiana, Punjab.

The Journal of the Association of Physicians of India

|July 24, 2010

Summary

This summary is machine-generated.

Massive bleeding after endoscopic retrograde cholangiopancreatography (ERCP) was successfully controlled using immediate angiographic embolization. This interventional radiology technique offers a safe and effective solution for post-sphincterotomy hemorrhage when endoscopy is not feasible.

Related Experiment Videos

Last Updated: Jun 10, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Area of Science:

Interventional Gastroenterology
Vascular Embolization
Endoscopic Retrograde Cholangiopancreatography (ERCP)

Background:

Obstructive jaundice management often involves ERCP.
Sphincterotomy during ERCP can lead to bleeding complications.
Massive hemorrhage poses a significant clinical challenge.

Observation:

A 38-year-old female presented with obstructive jaundice requiring ERCP.
Minor ampullary bleeding occurred during the procedure.
Massive bleeding ensued, obscuring endoscopic visualization of the ampulla.

Findings:

Endoscopic therapy was not feasible due to poor visualization.
Immediate angiographic embolization was performed using coronary hardware.
Successful control of massive post-sphincterotomy bleeding was achieved.

Implications:

Angiographic embolization is a viable alternative for managing massive post-ERCP bleeding.
This technique provides a safe and effective therapeutic option when endoscopic methods fail.
Interventional radiology plays a crucial role in managing complex gastrointestinal hemorrhage.