Post-biliary sphincterotomy bleeding despite covered metallic stent deployment.
OBJECTIVES
Several endoscopic techniques have been proposed for the management of post-sphincterotomy bleeding. Lately, self-expandable metal stents deployment has gained popularity especially as a rescue therapy when other endoscopic techniques fail.


METHODS-RESULTS
We report the case report of a massive post-sphincterotomy bleeding in a patient with a self-expandable metal stent in the biliary tree. Despite the presence of a correctly positioned self-expandable metal stent, a new endoscopic session was required to control the bleeding.


CONCLUSIONS
Self-expandable metal stent may be useful to manage post-endoscopic sphincterotomy bleeding. However, up to now there is no specifically designed self-expandable metal stent for such complication. Large new designed self-expandable metal stent may be a useful tool for biliary endoscopist.
['Donatelli|Gianfranco|G|', 'Cereatti|Fabrizio|F|', 'Dumont|Jean-Loup|JL|', 'Dhumane|Parag|P|', 'Tuszynski|Thierry|T|', 'Vergeau|Bertrand Marie|BM|', 'Meduri|Bruno|B|']
Bleeding self-expandable metal stent covered self-expandable metal stent endoscopic sphincterotomy