PTH-079 Fully covered metal stent insertion for the treatment of refractory post endoscopic sphincterotomy bleeding

Abstract

colonoscopic technique from Taiwan which facilitates easier placement of the snare thereby achieving en-bloc resection. Methods A 67 year old lady presented to our institute with an altered bowel habit and was found to have a flat polyp in the sigmoid colon on colonoscopy. Results Standard injection as per conventional endoscopic mucosal resection was initially performed. Then a suitably sized snare was selected and the snare tip was used to make a single incision with cut current lateral to the polyp. The snare tip was then anchored at the site of the incision and then the snare was slowly opened and simultaneously positioned around the polyp. Once the snare was adequately placed the polyp was resected. Histology revealed a tubulovillous adenoma with low grade dysplasia which was excised completely.Conclusions This technique provides an easy and safe way to resect en-bloc flat, large and challenging colonic polyps.

Use of fully covered self-expanding metal biliary stents for managing endoscopic biliary sphincterotomy related bleeding

“…Over the last decade, several series and small cohort studies have reported utilizing fully covered self-expanding metal stents (FCSEMS) to achieve hemostasis in severe cases of EBSrelated bleeding that were refractory to traditional management [18][19][20][21][22][23]. A recent retrospective study compared FCSEMS to traditional endoscopic modalities for the management of EBS-related bleeding after failure of traditional endoscopic modalities [20].…”