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

• Published in: Internal Medicine Vol. 60; no. 6; pp. 883 - 889
• Main Authors: 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
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 15.03.2021; Japan Science and Technology Agency
• 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; endoscopic retrograde cholangiopancreatography; bilio-duodenal bleeding; covered self-expandable metallic stent
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.6018-20

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.