Biliary hemostasis using an endoscopic plastic stent placement for uncontrolled hemobilia caused by transpapillary forceps biopsy (with video)

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• 作者：Kunihiro Shinjo ; Hiroyuki Matsubayashi ; Toru Matsui…
• 关键词：Biliary hemorrhage ; Forceps biopsy ; Hemostasis ; Plastic stent ; ENBD
• 刊名：Clinical Journal of Gastroenterology
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：9
• 期：2
• 页码：86-88
• 全文大小：658 KB
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• 作者单位：Kunihiro Shinjo (1)
  Hiroyuki Matsubayashi (1)
  Toru Matsui (1)
  Noboru Kawata (1)
  Sunao Uemura (2)
  Yusuke Yamamoto (2)
  Hiroyuki Ono (1)
  
  1. Division of Endoscopy, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan
  2. Hepato-Biliary-Pancreas Surgery, Shizuoka Cancer Center, Suntogun, 411-8777, Nagaizumi, Shizuoka, Japan
  
• 刊物主题：Gastroenterology; Hepatology; Abdominal Surgery; Colorectal Surgery; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：1865-7265

文摘

A 78-year-old woman was referred to our hospital for the examination and treatment of jaundice. A transpapillary forceps biopsy for a long distal bile duct stricture was performed using endoscopic retrograde cholangiopancreatography. Immediately after the biopsy, massive bleeding was observed from the orifice of the papilla. Although hemobilia was pulsatile, an endoscopic biliary plastic stent placement was very effective in achieving hemostasis. However, a nasal biliary catheter was required because a blood clot clogged the stent on the following day. Although covered self-expandable metal stent (CSEMS) placement has been reported for achieving endoscopic hemostasis for bleeding, we chose to use a plastic stent to reduce the risk of post-procedure pancreatitis. The placement of both an endoscopic biliary plastic stent and a nasobiliary drainage catheter can be an alternative hemostatic tool to CSEMSs.