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Medline ® Abstract for Reference 65

of 'Post-endoscopic retrograde cholangiopancreatography (ERCP) bleeding'

Endoscopic hemoclip placement for postsphincterotomy bleeding refractory to injection therapy: report of two cases.
Katsinelos P, Paroutoglou G, Beltsis A, Gouvalas A, Mimidis K, Vlachakis I, Chatzimavroudis G, Papaziogas B
Surg Laparosc Endosc Percutan Tech. 2005;15(4):238.
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.
Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece. pantso@the.forthnet.gr