A Case of Spurting Bleeding After Endoscopic Papillary Balloon Dilation.

Authors :: Shionoya K
Koizumi K
Masuda S
Kubota J
Kimura K
Makazu M
Source :: Gastro hep advances [Gastro Hep Adv] 2023 Jul 18; Vol. 2 (7), pp. 889-892. Date of Electronic Publication: 2023 Jul 18 (Print Publication: 2023).
Publication Year :: 2023
Abstract: A 58-year-old male with acute cholangitis due to a common bile duct stone underwent endoscopic retrograde cholangiopancreatography for stone removal with endoscopic papillary balloon dilation (EPBD) due to his high bleeding risk owing to maintenance dialysis and antiplatelet and anticoagulant medications. He had a history of stone removal using an EPBD. The stone was removed; however, the patient subsequently developed spurting bleeding and underwent endoscopic hemostasis. Despite the subsequent mild pancreatitis, he recovered with conservative management. While EPBD is considered a low-risk procedure for bleeding, caution should still be exercised due to the possibility of massive postprocedural bleeding.<br /> (© 2023 The Authors.)