Bleeding on Needle Knife Fistulotomy Bleeding is one of the perils of needle knife fistulotomy. Hemostasis is a delicate issue as critical ducts are in close proximity and perforation risk is higher. What would you do next (no access yet to any duct in this “sharpei” papilla)? Abort or persist? Epi spray + balloon tamponade+ Persistence + FCSEMS Andy Tau, MD @DrBloodandGuts #Bleeding #Needle #Knife #Fistulotomy #endoscopy #ercp #clinical #gastroenterology
