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 |
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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. CSEMS insertion was useful for treating refractory bilio-duodenal haemorrhaging.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.6018-20</identifier><identifier>PMID: 33087676</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>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</subject><ispartof>Internal Medicine, 2021/03/15, Vol.60(6), pp.883-889</ispartof><rights>2021 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2021</rights><rights>Copyright © 2021 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c666t-d0d7404cbc05369c49c8a2f7d04b76304b11e23b81b58ae27b8198410bbe61863</citedby><cites>FETCH-LOGICAL-c666t-d0d7404cbc05369c49c8a2f7d04b76304b11e23b81b58ae27b8198410bbe61863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024959/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024959/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1876,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33087676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugimoto, Mitsuru</creatorcontrib><creatorcontrib>Takagi, Tadayuki</creatorcontrib><creatorcontrib>Suzuki, Rei</creatorcontrib><creatorcontrib>Konno, Naoki</creatorcontrib><creatorcontrib>Asama, Hiroyuki</creatorcontrib><creatorcontrib>Sato, Yuki</creatorcontrib><creatorcontrib>Irie, Hiroki</creatorcontrib><creatorcontrib>Nakamura, Jun</creatorcontrib><creatorcontrib>Takasumi, Mika</creatorcontrib><creatorcontrib>Hashimoto, Minami</creatorcontrib><creatorcontrib>Kato, Tsunetaka</creatorcontrib><creatorcontrib>Kobashi, Ryoichiro</creatorcontrib><creatorcontrib>Hikichi, Takuto</creatorcontrib><creatorcontrib>Ohira, Hiromasa</creatorcontrib><title>The Dramatic Haemostatic Effect of Covered Self-expandable Metallic Stents for Duodenal and Biliary Bleeding</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><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.</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 ; 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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c666t-d0d7404cbc05369c49c8a2f7d04b76304b11e23b81b58ae27b8198410bbe61863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bile</topic><topic>Bile ducts</topic><topic>bilio-duodenal bleeding</topic><topic>Bleeding</topic><topic>Case Report</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>covered self-expandable metallic stent</topic><topic>endoscopic retrograde cholangiopancreatography</topic><topic>Endoscopy</topic><topic>Gastrectomy</topic><topic>Hemostatics</topic><topic>Humans</topic><topic>Implants</topic><topic>Internal medicine</topic><topic>Retrospective Studies</topic><topic>Self Expandable Metallic Stents</topic><topic>Sphincterotomy, Endoscopic - adverse effects</topic><topic>Stents</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sugimoto, Mitsuru</creatorcontrib><creatorcontrib>Takagi, Tadayuki</creatorcontrib><creatorcontrib>Suzuki, Rei</creatorcontrib><creatorcontrib>Konno, Naoki</creatorcontrib><creatorcontrib>Asama, Hiroyuki</creatorcontrib><creatorcontrib>Sato, Yuki</creatorcontrib><creatorcontrib>Irie, Hiroki</creatorcontrib><creatorcontrib>Nakamura, Jun</creatorcontrib><creatorcontrib>Takasumi, Mika</creatorcontrib><creatorcontrib>Hashimoto, Minami</creatorcontrib><creatorcontrib>Kato, Tsunetaka</creatorcontrib><creatorcontrib>Kobashi, Ryoichiro</creatorcontrib><creatorcontrib>Hikichi, Takuto</creatorcontrib><creatorcontrib>Ohira, Hiromasa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugimoto, Mitsuru</au><au>Takagi, Tadayuki</au><au>Suzuki, Rei</au><au>Konno, Naoki</au><au>Asama, Hiroyuki</au><au>Sato, Yuki</au><au>Irie, Hiroki</au><au>Nakamura, Jun</au><au>Takasumi, Mika</au><au>Hashimoto, Minami</au><au>Kato, Tsunetaka</au><au>Kobashi, Ryoichiro</au><au>Hikichi, Takuto</au><au>Ohira, Hiromasa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Dramatic Haemostatic Effect of Covered Self-expandable Metallic Stents for Duodenal and Biliary Bleeding</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2021-03-15</date><risdate>2021</risdate><volume>60</volume><issue>6</issue><spage>883</spage><epage>889</epage><pages>883-889</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>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.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>33087676</pmid><doi>10.2169/internalmedicine.6018-20</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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