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Endoscopic management of postoperative bleeding
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Sung Hyeok Ryou, Ki Bae Bang
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Clin Endosc 2023;56(6):706-715. Published online November 2, 2023
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DOI: https://doi.org/10.5946/ce.2023.028
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Abstract
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- Postoperative gastrointestinal bleeding is a rare but serious complication that can lead to prolonged hospitalization and significant morbidity and mortality. It can be managed by reoperation, endoscopy, or radiological intervention. Although reoperation carries risks, particularly in critically ill postoperative patients, minimally invasive interventions, such as endoscopy or radiological intervention, confer advantages. Endoscopy allows localization of the bleeding focus and hemostatic management at the same time. Although there have been concerns regarding the potential risk of creating an anastomotic disruption or perforation during early postoperative endoscopy, endoscopic management has become more popular over time. However, there is currently no consensus on the best endoscopic management for postoperative gastrointestinal bleeding because most practices are based on retrospective case series. Furthermore, there is a wide range of individual complexities in anatomical and clinical settings after surgery. This review focused on the safety and effectiveness of endoscopic management in various surgical settings.
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Citations
Citations to this article as recorded by 
- Letter to the editor on “early postoperative endoscopy for predicting anastomotic leakage after minimally invasive esophagectomy: A large-volume retrospective study”
Judith Sánchez-Zavaleta, Doyler Cubas-García Surgery.2025; 180: 108890. CrossRef - Evaluating the efficacy of a novel hemostatic powder compared with traditional treatments in nonvariceal upper GI bleeding: a multicenter, randomized, noninferiority study
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Marcus Kantowski, Gabriel Alexander Salg Allgemein- und Viszeralchirurgie up2date.2025; 19(01): 53. CrossRef - The impact of ERAS-based nursing interventions on postoperative complication management and prognosis in early gastrointestinal tumor endoscopic resection: a prospective randomized controlled study
Yun Shen, Yu Xi, Li Gu Xian Ru, Huayu Liu Langenbeck's Archives of Surgery.2025;[Epub] CrossRef
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Successful removal of remnant cystic duct stump stone using single-operator cholangioscopy-guided electrohydraulic lithotripsy: two case reports
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Sung Hyeok Ryou, Hong Ja Kim
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Clin Endosc 2023;56(3):375-380. Published online January 5, 2023
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DOI: https://doi.org/10.5946/ce.2021.273
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Abstract
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- Cholecystectomy is the best method for treating gallstone diseases. However, 10%–30% of patients who undergo a cholecystectomy continue to complain of upper abdominal pain, dyspepsia, or jaundice—this is referred to as postcholecystectomy syndrome. Cystic duct stump stones are a troublesome cause of postcholecystectomy syndrome. Conventionally, surgery is mainly performed to remove cystic duct stump stones. However, repeated surgery can cause complications, such as postoperative bleeding, biliary injury, and wound infection. As an alternative method of surgery, endoscopic retrograde cholangiopancreatography is sometimes used to remove cystic duct stump stones, although the success rate is not high due to technical difficulties. Recently, peroral cholangioscopy, which can directly observe the bile duct, has been suggested as an alternative method. We report two cases in which a cystic duct stump stone was successfully removed via a single-operator cholangioscopy, after failure with an endoscopic retrograde cholangiopancreatography.
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Citations
Citations to this article as recorded by 
- Clinical perspectives on post-cholecystectomy syndrome: a narrative review
Changjin Nam, Jun Suh Lee, Ji Su Kim, Tae Yoon Lee, Young Chul Yoon Annals of Medicine.2025;[Epub] CrossRef - Holmium Laser Lithotripsy in the Management of Difficult Biliary and Cystic Ductal Stones – A Case Series
Amit Kumar, Harindra Kumar Goje, Nimesh Kumar Tarway, Vivek Hande Journal of Marine Medical Society.2024;[Epub] CrossRef - Laparoscopic management of remnant gall bladder with stones: Lessons from a tertiary care centre's experience
Gilbert Samuel Jebakumar, Jeevanandham Muthiah, Loganathan Jayapal, R. Santhosh Kumar, Siddhesh Tasgaonkar, K.S. Santhosh Anand, J.K.A. Jameel, Sudeepta Kumar Swain, K.J. Raghunath, Prasanna Kumar Reddy, Tirupporur Govindaswamy Balachandar Laparoscopic, Endoscopic and Robotic Surgery.2024; 7(1): 27. CrossRef - A remnant cystic duct presenting as a duodenal subepithelial tumor
Gwang Ha Kim, Dong Chan Joo Clinical Endoscopy.2024; 57(2): 268. CrossRef
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