Año 2019 / Volumen 111 / Número 12
Original
Usefulness of fully covered self-expandable biliary metal stents for the treatment of post-sphyncterotomy ERCP bleeding

931-934

DOI: 10.17235/reed.2019.6393/2019

Andres Conthe, Óscar Nogales, Carlos Martínez Flores, Javier García Lledó, Laura Rayón, Leticia Pérez Carazo, Seila García Mulas, María López Ibáñez, Javier Aranda Hernández, Beatriz Merino,

Resumen
Background: post-sphyncterotomy endoscopic retrograde cholangiopancreatography (ERCP) bleeding is an adverse event with an estimated incidence rate of 1.34%. There is no established consensus about how to treat this particular type of gastrointestinal bleed. Placement of fully covered self-expandable biliary metal stents (FCSEBMS) has been evaluated as an alternative treatment with positive outcomes and a low complication rate. Aim: to report the results of a cohort of patients with post-sphyncterotomy bleeding treated in a tertiary care referral hospital with FCSEBMS. Methods: a retrospective cases series study was performed including all post-ERCP bleeds treated with FCSEBMS (immediate or delayed) from January 2015 to June 2017. Clinical data, laboratory results and endoscopic reports were collected in order to evaluate the rebleeding rate after endoscopic treatment. Two different scenarios were considered: a) prophylactic stent placement after effective endoscopic treatment; and b) stents placed for the treatment of an active postsphyncterotomy bleed, refractory to standard endoscopic therapy. Results: twenty-two patients (14 male, eight women) diagnosed with postsphyncterotomy bleeding were treated with FCSEBMS placement. The stents were placed prophylactically in 15 patients, while the stents were placed as a treatment for a refractory bleed in seven patients. No differences were found between both groups except for a higher anticoagulation rate in the treatment group. Clinical success was achieved in all but one patient, with no complications in relation to stent placement. Distal migration was described in two of the 22 patients included in the study. Conclusions: temporary placement of FCSEBMS seems to be a technically feasible treatment option for post-ERCP bleeding with a high clinical success rate. The complication rate was low, although randomized studies are needed.
Share Button
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Artículos relacionados

Carta

Hematoma post-endoscopic retrograde cholangiopancreatography

DOI: 10.17235/reed.2023.9670/2023

Carta

Acute cholecystitis treated by direct visualization endoscopy

DOI: 10.17235/reed.2023.9432/2022

Editorial

Menos endoscopistas deberían hacer más CPRE

DOI: 10.17235/reed.2023.9507/2022

Imagen en Patología Digestiva

Colangiopatía post-COVID: hallazgos ultrasonográficos y de CPRE

DOI: 10.17235/reed.2022.9218/2022

Carta

CPRE y situs inversus

DOI: 10.17235/reed.2021.8374/2021

Imagen en Patología Digestiva

Cholangiohydatidosis: an uncommon cause of acute cholangitis

DOI: 10.17235/reed.2020.7063/2020

Carta

Obstructive jaundice of a parasitic etiology

DOI: 10.17235/reed.2018.5827/2018

Imagen en Patología Digestiva

A rare case of acute obstructive suppurative pancreatic ductitis associated with ERCP

DOI: 10.17235/reed.2018.5756/2018

Editorial

Prótesis pancreáticas en la CPRE, ¿en qué punto estamos?

DOI: 10.17235/reed.2018.5670/2018

Carta al Editor

Me, the intruder: revisited and rethought

DOI: 10.17235/reed.2018.5575/2018

Editorial

Hacia la excelencia en la CPRE

DOI: 10.17235/reed.2018.5373/2017

Carta al Editor

Accuracy of ASGE criteria for the prediction of choledocholithiasis

DOI: 10.17235/reed.2017.4511/2016

Caso Clínico

Hematoma hepático tras CPRE: presentación de dos nuevos casos

DOI: 10.17235/reed.2017.4237/2016

Imagen en Patología Digestiva

Successive breaks in biliary stents

Instrucciones para citar
Conthe A, Nogales Ó, Martínez Flores C, García Lledó J, Rayón L, Pérez Carazo L, et all. Usefulness of fully covered self-expandable biliary metal stents for the treatment of post-sphyncterotomy ERCP bleeding. 6393/2019


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 801 veces.
Este artículo ha sido descargado 223 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 20/05/2019

Aceptado: 20/07/2019

Prepublicado: 07/11/2019

Publicado: 05/12/2019

Tiempo de revisión del artículo: 50 días

Tiempo de prepublicación: 171 días

Tiempo de edición del artículo: 199 días


Compartir
Este artículo ha sido valorado por 1 lectores .
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2023 y Creative Commons. Revista Española de Enfermedades Digestivas