Bleeding following endoscopic sphincterotomy

Angiographic management by transcatheter embolization

M. Saeed, S. Kadir, S. L. Kaufman, R. R. Murray, F. Milligan, P. B. Cotton

Research output: Contribution to journalArticle

Abstract

Transcatheter embolization is a well-established and effective method for the control of bleeding from the upper gastrointestinal tract and often represents the preferred alternative to more invasive surgical management. The applications of this technique for the management of bleeding following endoscopic sphincterotomy have not been reported previously. Of five patients referred for arteriography with life-threatening postsphincterotomy bleeding, active bleeding from branches of the gastroduodenal artery was demonstrated in four. Embolization of this vessel with Gelfoam controlled the bleeding in all three patients in whom it was attempted. Arterial stenosis and spasm precluded such treatment in one patient. The fifth patient was not bleeding at the time of arteriography. There were no complications from these procedures. Our experience shows that postsphincterotomy bleeding can be safely and effectively controlled by transcatheter embolization, thereby avoiding surgery which is associated with significant morbidity and mortality in this setting.

Original languageEnglish (US)
Pages (from-to)300-303
Number of pages4
JournalGastrointestinal Endoscopy
Volume35
Issue number4
StatePublished - 1989

Fingerprint

Endoscopic Sphincterotomy
Hemorrhage
Angiography
Absorbable Gelatin Sponge
Upper Gastrointestinal Tract
Bleeding Time
Spasm
Pathologic Constriction
Arteries
Morbidity
Mortality

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Saeed, M., Kadir, S., Kaufman, S. L., Murray, R. R., Milligan, F., & Cotton, P. B. (1989). Bleeding following endoscopic sphincterotomy: Angiographic management by transcatheter embolization. Gastrointestinal Endoscopy, 35(4), 300-303.

Bleeding following endoscopic sphincterotomy : Angiographic management by transcatheter embolization. / Saeed, M.; Kadir, S.; Kaufman, S. L.; Murray, R. R.; Milligan, F.; Cotton, P. B.

In: Gastrointestinal Endoscopy, Vol. 35, No. 4, 1989, p. 300-303.

Research output: Contribution to journalArticle

Saeed, M, Kadir, S, Kaufman, SL, Murray, RR, Milligan, F & Cotton, PB 1989, 'Bleeding following endoscopic sphincterotomy: Angiographic management by transcatheter embolization', Gastrointestinal Endoscopy, vol. 35, no. 4, pp. 300-303.
Saeed M, Kadir S, Kaufman SL, Murray RR, Milligan F, Cotton PB. Bleeding following endoscopic sphincterotomy: Angiographic management by transcatheter embolization. Gastrointestinal Endoscopy. 1989;35(4):300-303.
Saeed, M. ; Kadir, S. ; Kaufman, S. L. ; Murray, R. R. ; Milligan, F. ; Cotton, P. B. / Bleeding following endoscopic sphincterotomy : Angiographic management by transcatheter embolization. In: Gastrointestinal Endoscopy. 1989 ; Vol. 35, No. 4. pp. 300-303.
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