Severe bleeding as a complication of endoscopic choledocho-duodenal drainage using LAMS (Hot-Axios) in the treatment of distal stenosis of the common bile duct due to pancreatic head adenocarcinoma
| Autor: | Roman Belica, Denisa Kudlová, Andrej Klepanec, Matúš Hoferica, Ján Haršany, Ján Rajec, Martin Habiňák, Rastislav Husťak, Jan Martínek |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Gastroenterologie a hepatologie. 75:207-212 |
| ISSN: | 1804-803X 1804-7874 |
| DOI: | 10.48095/ccgh2021207 |
| Popis: | Introduction: Endoscopic transpapillary drainage is a common method of solving malignant biliary obstruction. An alternative to the transpapillary approach is endosonographically guided biliary drainage using a lumen-apposition stent, which can be used not only in case of ERCP failure. Case report: We describe our experience with endosonographically guided choledocho-duodenal drainage using a lumen-apposition stent, which was complicated by delayed hemobilia. Persistent and severe bleeding was successfully resolved by endovascular embolization using a spiral coiling. Conclusion: Endosonographically guided drainage using a lumen-apposition stent may, despite all advantages, be accompanied by serious complications, including significant bleeding. Therefore, the availability of an interventional radiology unit is appropriate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|