Endoscopic hemostasis treatment for the bleeding in complications of endoscopic papillectomy

Abstract

Aim: We investigate Endoscopic Hemostasis (EH) procedures for the beleeding related with Endoscopic Papillectomy (EP), and evaluate effective hemostasis for EP bleedings.

Methods: We investigated 13 bleedings among 24 patients underwent EP.

Results: Bleedings occurred in perioperative periods of EP with 9 pts, the next day with 3, and the day after next day with one. First EH procedures were performed with Clip retractions in 3 pts, Argon plasma coagulation (APC) in 2, Hypersaline-epinephrine-injection (HSE) in 2, and combination of two methods out of these three methods in 6. First EHs were succeeded in 9 pts, and re-bleedings after first EHs were occurred in 4. Acute pancreatitis after hemostasis were occurred in 5 pts, and 3 pts of 5 were performed HSE.

Conclusion: It is considerable that HSE and Clip had high hemostatic effect, on the other hand, APC was poor. HSE may have risk to cause pancreatitis.