{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:15:39Z","timestamp":1767852939092,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T00:00:00Z","timestamp":1582848000000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Haemobilia describes blood loss from the biliary tract and classically presents as Quincke\u2019s triad: upper gastrointestinal bleeding (UGIB), jaundice and right upper quadrant abdominal pain. We discuss the case of a 70-year-old male with a previously stented Bismuth 1 hilar cholangiocarcinoma who presented with haematemesis. He had a similar presentation a month ago where a forward viewing gastroscope identified fresh and altered blood in the distal stomach but no clear source of bleeding. During this admission, a side-viewing duodenoscope identified bleeding from the periampullary region, which was managed by inserting a fully covered self-expanding metal stent (fcSEMS) within his pre-existing uncovered SEMS to tamponade the haemorrhage. This case highlights the importance of using a side-viewing duodenoscope for patients with UGIB on a background of a stented cholangiocarcinoma and inserting a fcSEMS within an uncovered SEMS is feasible and effective in managing these patients.<\/jats:p>","DOI":"10.1093\/omcr\/omaa010","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T10:51:15Z","timestamp":1582887075000},"source":"Crossref","is-referenced-by-count":7,"title":["Haemobilia in a previously stented hilar cholangiocarcinoma: successful haemostasis after the insertion of fcSEMS"],"prefix":"10.1093","volume":"2020","author":[{"given":"T","family":"Tien","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Whipps Cross Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y C","family":"Tan","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Whipps Cross Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Baptiste","sequence":"first","affiliation":[{"name":"General Practice, NHS Waltham Forest Clinical Commissioning Group, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Tanwar","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Whipps Cross Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,28]]},"reference":[{"key":"2020022810500400300_ref1","first-page":"571","article-title":"Hemorrhage into the biliary tract following trauma; traumatic hemobilia","volume":"24","author":"Sandblom","year":"1948","journal-title":"Surgery"},{"key":"2020022810500400300_ref2","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1007\/s00268-013-2435-5","article-title":"Massive hemobilia: a diagnostic and therapeutic challenge","volume":"38","author":"Murugesan","year":"2014","journal-title":"World J Surg"},{"key":"2020022810500400300_ref3","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.mjafi.2016.08.014","article-title":"Are self-expandable metal stents superior to plastic stents in palliating malignant distal biliary strictures? 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