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Bleeding after endoscopic biliary sphincterotomy.

Malay Sharma1

  • 1Gastroenterologist, Director, Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.

Journal of Clinical and Experimental Hepatology
|March 11, 2015
PubMed
Summary
This summary is machine-generated.

Delayed bleeding after endoscopic retrograde cholangiopancreatography (ERCP) can occur. This case highlights detecting post-ERCP bleeding and hemobilia, successfully treated by clot removal, leading to a full recovery.

Keywords:
CBD, common bile ductCHA, common hepatic arteryCyA, cystic arteryERCP, endoscopic retrograde cholangiopancreatographyEndoscopyGDA, gastroduodenal arteryGT, gastrocolic trunkHAP, hepatic artery properINR, international normalized ratioLGV, left gastric veinLHA, left hepatic arteryPSPD, posterior superior pancreaticoduodenal arteryPV, portal veinRGV, right gastric veinRHA, right hepatic arterySMV, superior mesenteric veinSV, splenic veinhemobiliasphincterotomy

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Area of Science:

  • Gastroenterology
  • Endoscopic procedures
  • Hepatobiliary diseases

Background:

  • Bleeding is a frequent complication of endoscopic sphincterotomy.
  • Late-onset bleeding following ERCP is a recognized, though less common, occurrence.
  • Prompt identification and management are crucial for favorable outcomes.

Purpose of the Study:

  • To report a case of delayed bleeding after ERCP.
  • To highlight the diagnostic challenges and successful management of hemobilia.
  • To emphasize the role of repeat ERCP in managing such complications.

Main Methods:

  • A case of a patient experiencing bleeding post-ERCP was analyzed.
  • Diagnostic evaluation included investigations for hemobilia.
  • Therapeutic intervention involved repeat ERCP for clot removal.

Main Results:

  • Bleeding was detected after the completion of the initial ERCP procedure.
  • Hemobilia was identified as the cause of the bleeding.
  • Repeat ERCP successfully removed blood clots from the common bile duct.

Conclusions:

  • Delayed bleeding after ERCP, including hemobilia, requires vigilant monitoring.
  • Repeat ERCP is an effective treatment for removing obstructive blood clots.
  • Timely intervention ensures patient recovery with minimal morbidity.