Post-polypectomy bleeding in hot-snare polypectomy of colonic polyps under continued warfarin or short interruption of direct oral anticoagulants
ConclusionsOur study affirms the recommendations of JGES for the management of anticoagulants in patients who undergo colonic polypectomy regarding post-polypectomy bleeding.
ConclusionsA focused training intervention was associated with a strong trend toward increased ADRs among certified endoscopists. While the described training interventions definitely show promise, further efforts around continuing professional developments activities are needed to more consistently improve ADRS among certified endoscopists.
I read with interest the article by Lin et al.1 The authors conducted a risk assessment to evaluate the relationship between anticoagulation or antiplatelet medications and postpolypectomy bleeding according to 2 epidemiologic study designs. In a retrospective cohort study, the authors observed 59 cases. Thereafter, the authors conducted a case-control study with 174 matched control individuals. In multivariate logistic regression analysis, the adjusted odds ratios (95% confidence interval [CI]) of heparin bridge and polyp size ≥2 cm in patients with warfarin medication were 10.27 (2.51-42.1) and 8.8 (1.28-60.7), respectively.
This study aimed to compare rates of delayed bleeding after CSP and hot snare polypectomy (HSP). Patients and methods We conducted a multicenter, randomized controlled trial. Participants scheduled to undergo endoscopic resection of colorectal polyps ≤ 10 mm were enrolled and randomly assigned to CSP or HSP. Prophylactic clipping was performed at the endoscopists’ discretion. The primary outcome was delayed bleeding rate. Secondary outcomes included immediate bleeding rate and clipping rate. Sample size calculation showed that 451 patients were required in each arm. Results At the end of the st...
Authors: Miwa T, Ibuka T, Ozawa N, Sugiyama T, Kubota M, Imai K, Sakai H, Takai K, Araki H, Shimizu M Abstract Colonic varices are usually associated with portal hypertension. Idiopathic colonic varices are extremely rare. A 68-year-old man with a positive fecal occult blood test result underwent colonoscopy. We detected idiopathic ileocolonic varices and a coexisting ascending colon polyp. While reviewing the literature, we found cases of biopsies and polypectomies resulting in significant bleeding. We herein report a case of idiopathic ileocolonic varices coexisting with a colon polyp treated successfully by endo...
Rationale: Adenocarcinoma coexists with adjacent microscopic gastrointestinal stromal tumor (micro-GIST) is rare, especially in the rectum, where the gastrointestinal stromal tumors (GISTs) have the lower incidence rate. It is easy to ignore the concurrent micro-GIST due to the untypical symptoms. Patient concerns: A 77-year-old male patient suffered from lower abdominal pain for 20 days and presented with per rectal bleeding for 10 days. He had the medical history of hypertension and diabetes for more than 25 years. Diagnoses: Endoscopy revealed that the patient had rectum adenocarcinoma and multiple rectum polyps...
Conclusions In this pilot study, the novel non-thermal device (EndoRotor) has been demonstrated to be a safe and effective technique in challenging management of scarred polyps. Further randomized controlled trials comparing this technique with APC, hot avulsion, ESD and endoscopic full-thickness resection are required to ascertain the utility of EndoRotor in the hands of non-expert endoscopists. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | open access Full text
Portal hypertensive hyperplastic polyps (PHHP) are an unusual finding seen at the time of endoscopy in patients with cirrhosis. They have been recognized lately with limited data and have been associated with bleeding. Data are scarce comparing the clinical and pathologic features of PHHP with hyperplastic polyps in patients without cirrhosis.
Bleeding is a common and serious complication of endoscopic mucosal resection (EMR) of duodenal polyps occurring in 0-33% of cases. Early identification of risk factors for post-procedural bleeding (PPB) may aid in implementation of risk-modification techniques and post-procedural management (e.g. admission for observation). A prediction scoring system will be more helpful in predicting PPB in patients with more than one risk factor Aim: To evaluate risk factors for PPB after EMR of sporadic duodenal non-ampullary polyps
Peutz Jeghers Syndrome (PJS) is a dominant autosomal hereditary disease, characterized by the finding of hamartomatous polyps, particularly in the small bowel (SB) and mucopigmented lesions. Surveillance and management of SB polyps is recommended, in order to prevent any complications (invagination, bleeding and malignity). Any polyp over 1 cm must be resected. The capsule endoscopy , together with the enterotomography and enteroscopy enable the early discovery and resection of polyps, thus avoiding surgery.
Bleeding is the most common complication associated with polypectomy of large pedunculated colonic polyp. Although several techniques have been developed to minimize bleeding, none of these methods has become the gold standard. To prevent post-polypectomy bleeding effectively, we developed and attempted a new endoscopic technique for removal of large long-stalked pedunculated colonic polyps using band ligations.