The Dramatic Haemostatic Effect of Covered Self-expandable Metallic Stents for Duodenal and Biliary Bleeding

Bilio-duodenal bleeding, such as post-endoscopic sphincterotomy (EST) bleeding, common bile duct (CBD) bleeding after endoscopic retrograde cholangiopancreatography (ERCP), and duodenal bleeding due to malignant tumour invasion, can sometimes become severe. Six cases of refractory bilio-duodenal ble...

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Veröffentlicht in:Internal Medicine 2021/03/15, Vol.60(6), pp.883-889
Hauptverfasser: Sugimoto, Mitsuru, Takagi, Tadayuki, Suzuki, Rei, Konno, Naoki, Asama, Hiroyuki, Sato, Yuki, Irie, Hiroki, Nakamura, Jun, Takasumi, Mika, Hashimoto, Minami, Kato, Tsunetaka, Kobashi, Ryoichiro, Hikichi, Takuto, Ohira, Hiromasa
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container_end_page 889
container_issue 6
container_start_page 883
container_title Internal Medicine
container_volume 60
creator Sugimoto, Mitsuru
Takagi, Tadayuki
Suzuki, Rei
Konno, Naoki
Asama, Hiroyuki
Sato, Yuki
Irie, Hiroki
Nakamura, Jun
Takasumi, Mika
Hashimoto, Minami
Kato, Tsunetaka
Kobashi, Ryoichiro
Hikichi, Takuto
Ohira, Hiromasa
description Bilio-duodenal bleeding, such as post-endoscopic sphincterotomy (EST) bleeding, common bile duct (CBD) bleeding after endoscopic retrograde cholangiopancreatography (ERCP), and duodenal bleeding due to malignant tumour invasion, can sometimes become severe. Six cases of refractory bilio-duodenal bleeding were stanched via covered self-expandable metallic stent (CSEMS) insertion, even though three of the patients had a history of gastrectomy. The dumbbell-shaped CSEMS was useful for managing post-EST bleeding. Additional duodenal CSEMS insertion was useful for the patient who had previously undergone uncovered SEMS insertion, and no migration of the CSEMS was observed. CSEMS insertion was useful for treating refractory bilio-duodenal haemorrhaging.
doi_str_mv 10.2169/internalmedicine.6018-20
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Six cases of refractory bilio-duodenal bleeding were stanched via covered self-expandable metallic stent (CSEMS) insertion, even though three of the patients had a history of gastrectomy. The dumbbell-shaped CSEMS was useful for managing post-EST bleeding. Additional duodenal CSEMS insertion was useful for the patient who had previously undergone uncovered SEMS insertion, and no migration of the CSEMS was observed. 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CSEMS insertion was useful for treating refractory bilio-duodenal haemorrhaging.</description><subject>Bile</subject><subject>Bile ducts</subject><subject>bilio-duodenal bleeding</subject><subject>Bleeding</subject><subject>Case Report</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>covered self-expandable metallic stent</subject><subject>endoscopic retrograde cholangiopancreatography</subject><subject>Endoscopy</subject><subject>Gastrectomy</subject><subject>Hemostatics</subject><subject>Humans</subject><subject>Implants</subject><subject>Internal medicine</subject><subject>Retrospective Studies</subject><subject>Self Expandable Metallic Stents</subject><subject>Sphincterotomy, Endoscopic - adverse effects</subject><subject>Stents</subject><subject>Tumors</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkV9vFCEUxYnR2LX6FQyJL75M5c8MAy8mdlutSdWH1mfCMHd22TDDCkyj316mWzfa-HIh8LuHwz0IYUrOGBXqnZsyxMn4EXpn3QRnglBZMfIErSivVdUy3jxFK6KW01JO0IuUdoRw2Sr2HJ1wTmQrWrFC_nYL-CKa0WRn8ZWBMaR8v78cBrAZhwGvwx1E6PEN-KGCn3sz9abzgL9ANt4X9CbDlBMeQsQXc-ihOMMFwufOOxN_4XMPxei0eYmeDcYnePWwnqLvHy9v11fV9bdPn9cfrisrhMhVT_q2JrXtLGm4ULZWVho2tD2pu1bwUikFxjtJu0YaYG3ZKVlT0nUgqBT8FL0_6O7nrozIFnfReL2Pbix2dDBO_3szua3ehDstCatVo4rA2weBGH7MkLIeXbLgvZkgzEmzejHGaLugbx6huzAv2RSqIbLMXNWsUPJA2RhSijAczVCil0j140j1EqlmpLS-_vszx8Y_GRbg6wHYleQ2cARMLDF6-J-yFvfl8MIRtFsTNUz8N01uv_Q</recordid><startdate>20210315</startdate><enddate>20210315</enddate><creator>Sugimoto, Mitsuru</creator><creator>Takagi, Tadayuki</creator><creator>Suzuki, Rei</creator><creator>Konno, Naoki</creator><creator>Asama, Hiroyuki</creator><creator>Sato, Yuki</creator><creator>Irie, Hiroki</creator><creator>Nakamura, Jun</creator><creator>Takasumi, Mika</creator><creator>Hashimoto, Minami</creator><creator>Kato, Tsunetaka</creator><creator>Kobashi, Ryoichiro</creator><creator>Hikichi, Takuto</creator><creator>Ohira, Hiromasa</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210315</creationdate><title>The Dramatic Haemostatic Effect of Covered Self-expandable Metallic Stents for Duodenal and Biliary Bleeding</title><author>Sugimoto, Mitsuru ; 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ispartof Internal Medicine, 2021/03/15, Vol.60(6), pp.883-889
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source J-STAGE Free; MEDLINE; PubMed Central Open Access; PubMed Central
subjects Bile
Bile ducts
bilio-duodenal bleeding
Bleeding
Case Report
Cholangiopancreatography, Endoscopic Retrograde
covered self-expandable metallic stent
endoscopic retrograde cholangiopancreatography
Endoscopy
Gastrectomy
Hemostatics
Humans
Implants
Internal medicine
Retrospective Studies
Self Expandable Metallic Stents
Sphincterotomy, Endoscopic - adverse effects
Stents
Tumors
title The Dramatic Haemostatic Effect of Covered Self-expandable Metallic Stents for Duodenal and Biliary Bleeding
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