Endoscopic treatment of delayed hemorrhage after endoscopic sphincterotomy
10.3760/cma.j.issn.1008-6706.2016.19.016
- VernacularTitle:十二指肠乳头括约肌切开术后迟发性出血的内镜治疗
- Author:
Lihua HU
;
Peng CHEN
;
Chunlin SHI
- Publication Type:Journal Article
- Keywords:
Duodenoscopy;
Sphincterotomy,endoscopic;
Postoperative hemorrhage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(19):2946-2948
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of endoscopic treatment of delayed hemorrhage after endoscopic sphincterotomy.Methods Retrospectively analyzed the data of 2 638 patients who underwent endoscopic sphincterotomy.There were 26 patients who delayed hemorrhage after endoscopic sphincterotomy.All the 26 patients underwent duodenoscopy,and endoscopic treatment was underwent for the patients who had active bleeding.Results There were 21 patients had active bleeding,and the other 5 cases had no bleeding.There were 12 patients with capillary hemorrhage and 9 cases with petechial hemorrhage.In the 12 patients with capillary hemorrhage,9 patients had been sprayed tissue glue,and 3 patients had been local injected with 1 10 000 noradrenalin.In the 9 patients with petechial hemorrhage,5 patients were treated with titanium clip,and 4 patients were treated with argon ion.All the 21 patients were crued,and no patient was operated and no patient died.Conclusion There are few patients who delayed hemorrhage after endoscopic sphincterotomy.Tissue glue sprayed,local injection,argon ion and titanium clip can cure the bleeding.
