Endoscopic hemostasis with bipolar forceps coagulation for post-endoscopic sphincterotomy bleeding

Post-endoscopic sphincterotomy (EST) bleeding is a well-known complication; however, an optimal procedure for endoscopic hemostasis has not been determined [1]. Electrocoagulation using bipolar forceps (Hemostat Y; Pentax, Tokyo, Japan) has been documented as effective for gastrointestinal bleeding while minimizing the risk of excessive tissue injury [2] [3] [4] ([Fig. 1]). The bipolar forceps are available in both open and closed forms, and their soft and thin nature makes them compatible with the elevator system of a duodenoscope ([Fig. 2]).