Post written by Aamir Saeed, MD, from the Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. In this meta-analysis, we aimed to assess the efficacy and safety of fully covered self-expandable metal stents (FCSEMSs) in the management of postsphincterotomy bleeding. Endoscopic sphincterotomy is commonly performed during ERCP to assist in various therapeutic interventions such as …
Tag: Sphincterotomy
Usefulness of texture- and color-enhancement imaging for identifying the bleeding point in a patient with post–endoscopic sphincterotomy bleeding
Post written by Yuki Tanisaka, MD, PhD, from Saitama Medical University International Medical Center, Saitama, Japan. A 61-year-old woman was referred to our hospital for obstructive jaundice because of unresectable pancreatic cancer. We performed endoscopic sphincterotomy before fully covered self-expandable metallic stent placement. The following day, the patient presented with tarry stools. Endoscopic examination was performed …
Risk of post-sphincterotomy bleeding with antiplatelet and anticoagulant use: a propensity-matched analysis of the U.S. Collaborative Network
Post written by Saurabh Chandan, MD, from Creighton University School of Medicine, Omaha, Nebraska, USA. The main focus of our study was to assess the outcomes of ERCP with sphincterotomy among patients on anticoagulant (AC) and antiplatelet (APT) agents. We performed a retrospective analysis using the TriNetX database, which is a global, federated research network providing …
Primary needle-knife fistulotomy versus rescue precut: a systematic review and meta-analysis of outcomes
Post written by Jay Bapaye, MD, from the Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA. Precut sphincterotomy is a technique used when attempts at gaining biliary access with the help of standard catheters, cannulotomes, and guidewires have failed. In our study, we tried to answer the question of how does a primary …
Early precut versus primary precut sphincterotomy to reduce post-ERCP pancreatitis
Post written by Sudhir Maharshi, MD, DM, and Shyam Sunder Sharma, DNB, DM, from the Department of Gastroenterology, SMS Medical College and Hospitals, Jaipur, India. The focus of our study was to assess the safety and efficacy of primary precut. It is well known that precut sphincterotomy, usually considered after repeated and failed cannulation, is …
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