Clinically significant post-ERCP bleeding after common bile duct stone removal

International Journal of Gastrointestinal Intervention · Published 2025-06-25 · DOI 10.18528/ijgii240056

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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) is widely used for the treatment of pancreaticobiliary diseases, and its efficacy is well-established. However, the risks associated with ERCP are higher than those of general upper endoscopy and colonoscopy, and it can lead to fatal outcomes despite appropriate precautions. Known complications of ERCP include bleeding, perforation, and pancreatitis. Notably, bleeding can occur up to 14 days post-procedure. This report presents a case of clinically significant bleeding that occurred on the third day following an ERCP procedure. This incident occurred despite the successful removal of a common bile duct stone in an elderly patient with a periampullary diverticulum, who was taking clopidogrel.

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Publication details

Year
2025

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