ERCP-Related Bleeding

Abdullah Emre YILDIRIM

Article Details

ERCP-Related Bleeding

Authors:

Abdullah Emre YILDIRIM

Publisher:

Ondokuz Mayıs University

Main Topics:

Promotion of health

Journal:

Journal of Experimental and Clinical Medicine 2021 Vol.38 Issue 2s, pp.44-52

Document Type:

Article

Publication Date:

3/2021

Document Language:

English

Document ID (Org No.):

2000507677

Frequency:

Quarterly

eISSN:

1309-5129

pISSN:

1309-4483

Abstract:

 

Clinically significant bleeding is an uncommon complication of diagnostic endoscopic retrograde cholangiopancreatography. But the endoscopists needs to be skilled at prevention and management. Post ERCP bleeding is most often seen following sphincterotomy. The overall risk of bleeding in patients undergoing sphincterotomy is approximately 1-2 percent. Most bleeding episodes are mild to moderate in severity. The risk of bleeding can be minimized by identifying patients at risk, correcting coagulation abnormalities and careful technique by skilled endoscopists in high-volume centers. Post-sphincterotomy bleeding often stops spontaneously and is rarely life-threatening, except in patients with a bleeding diathesis. Most clinically relevant bleedings can be managed with medical treatment and/or endoscopic therapy, which should be performed without delay in patients who have immediate bleeding. Endoscopic therapy options include epinephrine
injection, hemostatic clips, thermal therapy and placement of full covered self-expandable metal stents. Angiography or surgery is usually reserved for patients with refractory bleeding and is rarely required.

Article Details

ERCP-Related Bleeding

Authors: Abdullah Emre YILDIRIM

Publisher: Ondokuz Mayıs University

Main Topics: Promotion of health

Journal: Journal of Experimental and Clinical Medicine 2021 Vol.38 Issue 2s, pp.44-52

Document Type: Article

Publication Date: 3/2021

Document Language: English

Document ID (Org No.): 2000507677

Frequency: Quarterly

eISSN: 1309-5129

pISSN: 1309-4483

Issues

Authors:

Abdullah Emre YILDIRIM

Publisher:

Ondokuz Mayıs University

Main Topics:

Promotion of health

Journal:

Journal of Experimental and Clinical Medicine 2021 Vol.38 Issue 2s, pp.44-52

Document Type:

Article

Publication Date:

3/2021

Document Language:

English

Document ID (Org No.):

2000507677

Frequency:

Quarterly

eISSN:

1309-5129

pISSN:

1309-4483