Endoscopic hemoclip placement for postsphincterotomy bleeding refractory to injection therapy: report of two cases.

Abstract

Bleeding is a serious complication of patients undergoing endoscopic sphincterotomy and is the most common sphincterotomy-associated cause of death. Two patients presented bleeding after endoscopic sphincterotomy. Despite injection treatment with large amounts of epinephrine (1:10,000), the bleeding was uncontrolled. Hemostasis was achieved by placing 2 and 3 hemoclips, respectively at the bleeding site. Our cases suggest that postsphincterotomy bleeding refractory to injection treatment can be safely and effectively controlled by endoscopic hemoclipping, thereby avoiding surgery.

• Authors: Panagiotis Katsinelos, George Paroutoglou, Athanasios Beltsis, Aristidis Gouvalas, Kostas Mimidis, Ioannis Vlachakis, Grigoris Chatzimavroudis, Basilis Papaziogas
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 15 Issue 4 Pg. 238-40 (Aug 2005) ISSN: 1530-4515 [Print] United States
• PMID: 16082314 (Publication Type: Case Reports, Journal Article)

Chemical References

• Vasoconstrictor Agents
• Epinephrine

Topics

• Aged
• Epinephrine (therapeutic use)
• Equipment Design
• Female
• Hemostasis, Endoscopic (instrumentation)
• Hemostasis, Surgical (instrumentation)
• Humans
• Male
• Middle Aged
• Sphincterotomy, Endoscopic (adverse effects)
• Treatment Failure
• Vasoconstrictor Agents (therapeutic use)