Prophylactic pancreas stenting and cauterization with bipolar forceps for achieving hemostasis in patients with post-papillotomy bleeding

Background: The overall incidence of endoscopic retrograde cholangio-pancreatography (ERCP)-associated bleeding is 3–4%. Abnormal clothing parameters caused by anticoagulant treatment, hematologic disorders, malignant diseases or vascular alterations of the papilla of Vateri increase the risk of bleeding. To achieve a successful hemostasis of post-papillotomy bleeding after therapeutic ERCP is crucial in patients with concomitant diseases. Patients: 227 ERCPs were performed between October 2010 and February 2011at our endoscopy unit. Four patients (2 male and 2 female; age 68–77 years) were observed with serious…