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The Dramatic Haemostatic Effect of Covered Self-expandable Metallic Stents for Duodenal and Biliary Bleeding

Mitsuru Sugimoto1, Tadayuki Takagi1, Rei Suzuki1

  • 1Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan.

Internal Medicine (Tokyo, Japan)
|October 22, 2020
PubMed

Bilio-duodenal bleeding, such as post-endoscopic sphincterotomy (EST) bleeding, common bile duct (CBD) bleeding after endoscopic retrograde cholangiopancreatography (ERCP), and duodenal bleeding due to malignant tumour invasion, can sometimes become severe. Six cases of refractory bilio-duodenal bleeding were stanched via covered self-expandable metallic stent (CSEMS) insertion, even though three of the patients had a history of gastrectomy. The dumbbell-shaped CSEMS was useful for managing post-EST bleeding. Additional duodenal CSEMS insertion was useful for the patient who had previously undergone uncovered SEMS insertion, and no migration of the CSEMS was observed. CSEMS insertion was useful for treating refractory bilio-duodenal haemorrhaging.

Keywords:
bilio-duodenal bleedingcovered self-expandable metallic stentendoscopic retrograde cholangiopancreatography

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