It is evident that endoscopic sphincterotomy (ES) is one of the standard procedures for bile duct stone removal. However, there is less evidence for the safety of ES in patients with hemophilia . A recent case report published in the Clinical Journal of Gastroenterology demonstrated that ES can be also an effective and safe first-line therapy for choledocholithiasis in patients with hemophilia. Researchers treated a 46-year-old man presented with choledocholithiasis and severe hemophilia A by high-responding inhibitors during immune tolerance induction therapy. Source: Sugiura R, Kuwatani M, Kawakubo K, Sano I, Kato S, Endo T, Sakamoto N.
Successful endoscopic sphincterotomy for choledocholithiasis in a patient with severe hemophilia A and inhibitors. Clinical journal of gastroenterology. 2018 Feb 2:1-5. Do you think ES can be an effective and safe first-line therapeutic option for…
