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Bleeding after endoscopic sphincterotomy
Annals of the Royal College of Surgeons of England
|March 1, 1985
Summary
Endoscopic sphincterotomy for common bile duct stones can cause bleeding, with 14 overt cases observed. Prompt surgical consultation and hemostasis techniques may reduce bleeding complications and mortality.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Background:
- Endoscopic sphincterotomy is a common procedure for common bile duct stones.
- Bleeding is a known complication of endoscopic sphincterotomy.
- Managing post-procedure bleeding is critical for patient outcomes.
Purpose of the Study:
- To review the incidence and outcomes of bleeding after endoscopic sphincterotomy for common bile duct stones.
- To identify factors that may reduce the morbidity and mortality associated with this complication.
Main Methods:
- Retrospective review of 194 patients who underwent 235 endoscopic sphincterotomies.
- Analysis of bleeding events, including overt and occult bleeding.
- Evaluation of management strategies and patient outcomes.
Main Results:
- Bleeding occurred in 21 patients (10.8%), with 14 overt cases.
- Six patients with overt bleeding required surgery.
- Two deaths occurred due to overt bleeding, and one prior to surgery.
Conclusions:
- Bleeding is a significant complication of endoscopic sphincterotomy for CBD stones.
- Early surgical consultation and appropriate hemostasis techniques are recommended.
- These measures may help mitigate the risks of morbidity and mortality.
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