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.
Surgical Laparoscopy Endoscopy and Percutaneous Techniques 15(4): 238-240
2005
ISSN/ISBN: 1530-4515 PMID: 16082314 Document Number: 590859
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.