Bleeding Clinical Trial
Official title:
Retrospective Study on Treatment of Post Sphincterotomy-bleeding by Epinephrine-injection Versus Insertion of an Endoprosthesis: a Single Center Experience Over 16 Years With 5698 ERCPs
Post sphinterotomy-bleeding (PSB) occurs in 1-2 % of Endosocpic Retrograde
Cholangiopancreaticography (ERCP) and usually needs no blood transfusion after endoscopic
therapy but can be life-threatening in some rare cases.
There are no prospective comparative studies concerning the endoscopic treatment of PSB due
to the rarity of the incident.
Insertion of an endoprosthesis in the common bile duct may be more effective than
Epinephrin-injection into the papilla which is the therapy of first choice.
A retrospective single centre analysis on both used methods over a study period of 16 years
shall be performed.
Post sphinterotomy-bleeding (PSB) occurs in 1-2 % of Endosocpic Retrograde
Cholangiopancreaticography (ERCP) and usually needs no blood transfusion after endoscopic
therapy but can be life-threatening in some rare cases.
The increasing use of antiplatelet and/or anticoagulant therapies enhances the risk of PSB.
There are no prospective comparative studies concerning the endoscopic treatment of PSB due
to the rarity of the incident.
Insertion of an endoprosthesis in the common bile duct may be more effective than
Epinephrin-injection into the papilla which is the therapy of first choice.
A retrospective single centre analysis on both used methods over a study period of 16 years
shall be performed.
In detail, clinical success and safety of the procedure, re-bleeding rate, number of
re-interventions and days of hospital stay will be analysed.
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