A dual-modality approach of endobiliary radiofrequency ablation and self-expandable metal stent placement to control malignant hemobilia

Linz, Christopher; Modi, Rohan M.; Krishna, Somashekar G.

doi:10.1055/s-0042-120274

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Hemobilia, which is usually caused by traumatic, malignant, or iatrogenic etiologies, presents as challenge from both diagnostic and management standpoints [1]. We have previously demonstrated the use of RFA as a salvage treatment modality for treating hemobilia and this case reports its successful use in a patient with surgically altered anatomy [2,3]. Endoscopy_UCTN_Code_TTT_1AR_2AK…”

Section: E551mentioning

confidence: 91%

Endobiliary radiofrequency ablation of an intraductal vessel in a patient with surgically altered anatomy

et al. 2023

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Section: E551mentioning

confidence: 91%

Endobiliary radiofrequency ablation of an intraductal vessel in a patient with surgically altered anatomy

et al. 2023

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“…If hemobilia is caused by a more proximal bleeding source, such as perihilar, other techniques and accessories are often required, such as devices to extract intraductal clots, for example, extraction balloon catheters and retrieval baskets, followed by stent placement, among other options (Figures and ). It has been reported that application of endobiliary radiofrequency ablation for haemorrhage secondary to malignant hemobilia can be effective in conjunction with an uncovered stent; however, this has been minimally studied …”

Section: Treatmentmentioning

confidence: 99%

Hemobilia: Historical overview, clinical update, and current practices

Zhornitskiy

Berry

Han

et al. 2019

Liver International

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Hemobilia refers to macroscopic blood in the lumen of the biliary tree. It represents an uncommon, but important, cause of gastrointestinal bleeding and can have potentially lethal sequelae if not promptly recognized and treated. The earliest known reports of hemobilia date to the 17th century, but due to the relative rarity and challenges in diagnosis of hemobilia, it has historically not been well‐studied. Until recently, most cases of hemobilia were due to trauma, but the majority now occur as a sequela of invasive procedures involving the hepatopancreatobiliary system. A triad (Quincke's) of right upper quadrant pain, jaundice and overt gastrointestinal bleeding has been classically described in hemobilia, but it is present in only a minority of patients. Therefore, prompt diagnosis depends critically on a high index of suspicion based on a patient's clinical presentation and a history of recently undergoing hepatopancreatobiliary intervention or having other predisposing factors. Treatment of hemobilia depends on the suspected source and clinical severity and thus ranges from supportive medical care to urgent advanced endoscopic, interventional radiologic, or surgical intervention. In the present review, we provide a historical perspective, clinical update and overview of current trends and practices pertaining to hemobilia.

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“…One case report has also described the use of endobiliary radiofrequency ablation for hemorrhage secondary to malignant hemobilia. 63…”

Section: Managementmentioning

confidence: 99%

Hemobilia: Etiology, diagnosis, and treatment

Berry

Han

Kardashian³

et al. 2018

Liver Research

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Hemobilia refers to bleeding from and/or into the biliary tract and is an uncommon but important cause of gastrointestinal hemorrhage. Reports of hemobilia date back to the 1600s, but due to its relative rarity and challenges in diagnosis, only in recent decades has hemobilia been more critically studied. The majority of cases of hemobilia are iatrogenic and caused by invasive procedures involving the liver, pancreas, bile ducts and/or the hepatopancreatobiliary vasculature, with trauma and malignancy representing the two other leading causes. A classic triad of right upper quadrant pain, jaundice, and overt upper gastrointestinal bleeding has been described (i.e. Quincke’s triad), but this is present in only 25%–30% of patients with hemobilia. Therefore, prompt diagnosis depends critically on having a high index of suspicion, which may be based on a patient’s clinical presentation and having recently undergone (peri-) biliary instrumentation or other predisposing factors. The treatment of hemobilia depends on its severity and suspected source and ranges from supportive care to advanced endoscopic, interventional radiologic, or surgical intervention. Here we provide a clinical overview and update regarding the etiology, diagnosis, and treatment of hemobilia geared for specialists and subspecialists alike.

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A dual-modality approach of endobiliary radiofrequency ablation and self-expandable metal stent placement to control malignant hemobilia

Cited by 5 publications

References 4 publications

Endobiliary radiofrequency ablation of an intraductal vessel in a patient with surgically altered anatomy

Endobiliary radiofrequency ablation of an intraductal vessel in a patient with surgically altered anatomy

Hemobilia: Historical overview, clinical update, and current practices

Hemobilia: Etiology, diagnosis, and treatment

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