Video Tip: ERCP Bleeding Complications: How to avoid and manage | May 2024-ERCP Bleeding Complications: How to avoid and manage

ERCP Bleeding Complications: How to avoid and manage

Video Transcription

Video Summary

The video discusses a case involving bleeding in a patient post liver transplant. The procedure involved an ERCP to place a metal stent for tamponade. Risks of ERCP-related bleeding are outlined, with factors such as physician experience and patient coagulopathy playing a role. Guidelines for managing anticoagulation therapy pre-procedure are highlighted. Prevention methods like using blended current for sphincterotomy and injectable agents are mentioned. Management strategies include IV fluid resuscitation, coagulopathy reversal, and endoscopic interventions. Fully covered metal stents are recommended for bleeding control. Further research is needed on combination therapies for managing bleeding during ERCP.

Keywords

liver transplant

ERCP

bleeding

anticoagulation therapy

metal stent