Endoscopic Hemostasis in Sphincterotomy-Induced Hemorrhage: Its Efficacy and Safety

Kim, H. J.; Kim, M. H.; Kim, D. I.; Lee, H. J.; Myung, Seung‐Jae; Yoo, Kyo-Sang; Park, E. T.; Lim, Byeong-Hoon; Seo, Dong-Woo; Lee, S. K.; Min, Yuan‐I

doi:10.1055/s-1999-42

Cited by 60 publications

(51 citation statements)

References 17 publications

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“…Precutting is also reported to increase the risk of bleeding [2,4,5]. Kim et al reported that sphincterotomy with a needle-knife sphincterotome increased the bleeding rate [23]. In our series, bleeding was seen more frequently in the precutting group but was not observed during precutting.…”

Section: Discussionsupporting

confidence: 42%

Early Decision for Precut Sphincterotomy: Is It a Risky Preference?

Parlak¹,

Çıçek

Dışıbeyaz

et al. 2007

Dig Dis Sci

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The aim of this prospective study was to evaluate the results and the complications at a tertiary referral center which frequently uses precutting techniques for biliary cannulation. Four hundred seventy patients with naive papilla for whom biliary intervention was planned were included in the study. If the selective cannulation was not achieved after a few trials, precutting sphincterotomy was performed. The results were evaluated for the frequency, success, and complication rates of precutting. Precutting was performed on 238 (50.6%; 117 male, 121 female; mean age, 58.5 +/- 16.2 years) of 470 patients. Total success rate of endoscopic retrograde cholangiopancreatography (ERCP) was 99.2% (236/238). The rate of complications in patients with versus without precutting was 7 (2.9%) versus 3 (1.3%) for pancreatitis, 2 (0.8%) versus 1 (0.4%) for perforation, and 7 (2.9%) versus 3 (1.3%) for bleeding. The differences between the rates were not significant. Early precutting can be preferable in prolonged cannulation trials of therapeutic ERCP.

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Section: Discussionsupporting

confidence: 42%

Early Decision for Precut Sphincterotomy: Is It a Risky Preference?

Parlak¹,

Çıçek

Dışıbeyaz

et al. 2007

Dig Dis Sci

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“…11 A plethora of other elements have been shown in either univariate or multivariate analysis as potential risk factors to consider including: precut sphincterotomy, zipper cut, pure cutting current, hemodialysis, cirrhosis, ampullary stone, stone extraction, and papillary stenosis. 5,6,11,22,48,147,151 NSAIDs or aspirin use do not appear to increase the risk of bleeding, however the effect of newer antiplatelet and antithrombotic agents has been less well-studied. 11 The type of energy application during sphincterotomy is also important to consider.…”

Section: Risk Reductionmentioning

confidence: 99%

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Tarnasky

Kedia

2017

Int J Gastrointest Interv

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Adverse events after endoscopic retrograde cholangiopancreatography (ERCP) are not uncommon and can be associated with tragic outcomes. Bleeding, perforation, and post-ERCP pancreatitis are the most common complications. Some events are unavoidable; others are associated with well described risk factors so that they can be either anticipated and/or measures can be taken for prevention or at least risk reduction. This review will focus on the more common complications after ERCP, their risk factors, and potential strategies for risk reduction. Additionally, recommendations for management of ERCP complications will be presented.

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“…In a prospective study of the risk factors for endoscopic sphincterotomy-induced hemorrhage, Kim et al [46] found that use of the needle-knife sphincterotome caused a higher rate of hemorrhage than the pull-type sphincterotome (P<0.025), as did use of the zipper cut (P<0.049). They also found that, once bleeding occurred, the severity of the bleed was worse with an associated ampullary lesion (impacted stone or cancer) or coagulopathy.…”

Section: Complicationsmentioning

confidence: 99%

Precut sphincterotomy: Indications, pitfalls, and complications

Larkin

2001

Curr Gastroenterol Rep

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Precut sphincterotomy is a technique employed to gain access to the common bile duct (CBD) when standard methods using catheters, cannulatomes, and guidewires have failed. It is particularly useful in cases of distal biliary strictures or distal impacted stones and in patients with Billroth II gastrectomies who require papillotomy. It significantly improves the overall success rate of CBD access. This technique should only be used, however, when a therapeutic maneuver is anticipated, and it has no place in diagnostic imaging. In the hands of experienced, skillful endoscopists, the complication rate is comparable with that of standard sphincterotomy.

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Endoscopic Hemostasis in Sphincterotomy-Induced Hemorrhage: Its Efficacy and Safety

Cited by 60 publications

References 17 publications

Early Decision for Precut Sphincterotomy: Is It a Risky Preference?

Early Decision for Precut Sphincterotomy: Is It a Risky Preference?

Endoscopic retrograde cholangiopancreatography complications: Techniques to reduce risk and management strategies

Precut sphincterotomy: Indications, pitfalls, and complications

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