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Combined endoscopic sphincterotomy and trans-catheter arterial embolization for the treatment and prevention of acute pancreatitis induced by hemobilia from hepatocellular carcinoma

Journal Volume 75 - 2012
Issue Fasc.2 - Letters
Author(s) Y.Y. Hsieh, K.F. Sung, N.J. Liu
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Division of Digestive Therapeutic Endoscopy, Department of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan.

Here, we report a case of hepatocellular carcinoma (HCC) with bile duct invasion and acute pancreatitis. The patient was successfully treated by endoscopic sphincterotomy (ES) and bile duct lavage for hemobilia. Trans-catheter arterial embolization (TAE) was per- formed to stop tumor bleeding and recurrent pancreatitis did not occur anymore during the following 7 years.

© Acta Gastro-Enterologica Belgica.
PMID 22870800