Clinical features and endoscopic management of non-iatrogenic hemobilia

VernacularTitle:非医源性胆道出血的临床特征及内镜下治疗
Author: Xianfeng ZHANG ; Rongchun ZHANG ; Yanglin PAN ; Xuegang GUO
Publication Type:Journal Article
Keywords: Hemobilia; Cholangiopancreaticography,endoscopic retrograde
From: Chinese Journal of Digestive Endoscopy 2013;30(9):508-511
CountryChina
Language:Chinese
Abstract: Objective To investigate the role of endoscopic retrograde cholangiopancreatography (ERCP) management in the diagnosis and treatment and illustrate clinical features of non-iatrogenic hemobi lia.Methods A total of 35 patients diagnosed as hemobilia via endoscope from August 2009 to September 2012 were reviewed retrospectively.Patients with iatrogenic causes of hemobilia were excluded in this study.Results The clinical features of hemobilia mainly included jaundice (77.1％),abdominal pain (62.9％),hematemesis (5.7％),melena (2.9％) and hematochezia (2.9％).Quincke triad was found in 4 patients with hemobilia.Hemobilia were caused by hepatobiliary malignancies in 29 patients and benign biliary tract diseases in the other six.Biliary obstruction caused by hemobilia was successfully ameliorated by ERCP in 34 patients.Postoperative pancreatitis ocurred in 1 patient.Conclusion The common noniatrogenic causes of hemobilia were hepatobiliary and pancreatic malignancies.ERCP is recommended as the initial management to confirm the hemobilia and solve biliary obstruction.