ASGE DDW Videos from Around the World | 2024-ENDOSOPIC MANAGEMENT OF HEMOBILIA IN THE SETTING OF HEPATIC KAPOSI’S SARCOMA USING INSTILLATION OF INTRABILIARY EPINEPHRINE

ENDOSOPIC MANAGEMENT OF HEMOBILIA IN THE SETTING OF HEPATIC KAPOSI’S SARCOMA USING INSTILLATION OF INTRABILIARY EPINEPHRINE

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Video Transcription

Video Summary

Hemobilia management in hepatic Kaposi sarcoma includes intrabiliary epinephrine for achieving hemostasis. Hemobilia, a rare cause of GI bleeding, can lead to biliary obstruction and death. The case discusses endoscopic and IR-guided therapies in a patient with AIDS and hepatic Kaposi sarcoma. The patient underwent stent placement and epinephrine instillation during ERCP for recurrent hemobilia. Stabilization was achieved through endoscopic intervention, avoiding the need for embolization. Despite stent migration and complications, the patient recovered after coil embolization for a pseudoaneurysm. Intrabiliary epinephrine offers a temporary solution for hemobilia management, serving as a valuable option in ERCP procedures.

Asset Subtitle

Nicole Ferrante

Keywords

Hemobilia management

Hepatic Kaposi sarcoma

Intrabiliary epinephrine

Endoscopic therapy

IR-guided therapy