Hyperbilirubinemia as a Post-Sphincterotomy Bleeding Risk during Endoscopic Retrograde Cholangio-Pancreatography (ERCP) Procedure in Normal Hemostasis Profile Patients

Lesmana, Cosmas Rinaldi Adithya

doi:10.15226/2374-815x/3/5/00177

Cited by 1 publication

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In countries where pancreatic stones and acute and chronic pancreatitis are prevalent, pancreatic cysts may be a single issue to be managed [ 10 ]. Our study has shown that most of our biliary obstruction cases are caused by a CBD stone, with a chronic pancreatitis condition in some patients [ 11 ]. However, a large CBD stone coincident with a large pancreatic cyst is considered a rare condition, and this requires good comprehensive management, especially in critically ill patients.…”

Section: Discussionmentioning

confidence: 99%

Bedside Percutaneous Approach in a Critically Ill ICU Patient with Complex Pancreatobiliary Disorder Followed by Endoscopic Approach: Lessons Learnt from a Tertiary Referral Center

Lesmana

Herjuningtyas²,

Inggriani³

et al. 2021

Case Rep Gastroenterol

View full text Add to dashboard Cite

Pancreatobiliary disorder is a challenging clinical condition, especially when this condition is causing severe infection or biliary sepsis, and sometimes it requires intensive care unit (ICU) treatment. Biliary drainage is the mainstay of therapy; however, the choice of the drainage method is dependent on the patient’s clinical condition and the disease itself. A 79-year-old female was transferred on a ventilator to our ICU from another hospital due to biliary sepsis, a large common bile duct stone, and an infected pancreatic pseudocyst. The patient also has other comorbidities such as heart problems, hypothyroidism, and diabetes mellitus. Bedside percutaneous transhepatic biliary drainage without fluoroscopy and percutaneous cyst aspiration was successfully performed, which improved the patient’s condition; this was followed by an endoscopic approach, i.e., endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound-guided pancreatic pseudocyst drainage. The clinical improvement showed itself in the change of the patient’s respiratory status and ventilator mode. In conclusion, the percutaneous approach has a big role in managing critically ill patients in the ICU setting. However, expertise, training experience, and a multidisciplinary team approach are very important for successful management and patient outcome.

show abstract

Section: Discussionmentioning

confidence: 99%