Efficacy of Emergency Endoscopic Hemostasis for the Treatment of Delayed Bleeding after Endoscopic Sphinc-terotomy
- VernacularTitle:急诊内镜下止血治疗内镜下十二指肠乳头括约肌切开术后迟发性出血的疗效
- Author:
Pisheng WANG
1
;
Jihong JIN
;
Meidong XU
Author Information
1. 新疆维吾尔自治区伊犁州奎屯医院消化科
- Keywords:
Endoscopic sphincterotomy;
Delayed bleeding;
Emergency endoscopic hemostasis
- From:
Chinese Journal of Clinical Medicine
2015;(4):519-521
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of emergency endoscopic hemostasis for the treatment of delayed bleeding after endoscopic sphincterotomy(EST).Methods:Clinical data of 5 patients with delayed bleeding after EST,who received emergen-cy endoscopic hemostasis during Jan 2013 and Dec 2014,were analyzed retrospectively,so as to evaluate the efficacy of emer-gency endoscopic hemostasis.Results:Delayed bleeding occurred within 24 h in 3 patients,3 d after EST in 1 patient,and 7 d after EST in 1 patient.Once the hemorrhagic lesion had been found by endoscopy,electrocoagulation,epinephrine injection, sclerosing agent injection,or hemoclipping was applied to hemostasis.Endoscopic hemostasis was successfully achieved in all pa-tients.No recurrent bleeding was observed during the follow-up.Conclusions:Emergency endoscopic hemostasis is simple to operate,safe and effective for the treatment of delayed bleeding after EST.
