Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/127549
Title: | Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study |
Author: | Córdova, Henry Argüello, Lidia Loras Alastruey, Carme Naranjo Rodríguez, Antonio Riu Pons, Faust Gornals Soler, Joan B. Nicolás Pérez, David Andújar Murcia, Xavier Hernández, Luis Santolaria, Santos Leal Valdivieso, Carles Pons Vilardell, Carles Pérez-Cuadrado Robles, Enrique García Bosch, Orlando Papo Berger, Michel Ulla Rocha, José L. Sánchez Montes, Cristina Fernández Esparrach, Glòria |
Keywords: | Endoscòpia Duodè Complicacions quirúrgiques Pòlips (Patologia) Endoscopy Duodenum Complications of surgery Polyps (Pathology) |
Issue Date: | 21-Dec-2017 |
Publisher: | Baishideng Publishing Group |
Abstract: | AIM: To evaluate the rate of adverse events (AEs) during consecutive gastric and duodenal polypectomies in several Spanish centers. METHODS: Polypectomies of protruded gastric or duodenal polyps ≥ 5 mm using hot snare were prospectively included. Prophylactic measures of hemorrhage were allowed in predefined cases. AEs were defined and graded according to the lexicon recommended by the American Society for Gastrointestinal Endoscopy. Patients were followed for 48 h, one week and 1 mo after the procedure. RESULTS: 308 patients were included and a single polypectomy was performed in 205. Only 36 (11.7%) were on prior anticoagulant therapy. Mean polyp size was 15 ± 8.9 mm (5-60) and in 294 cases (95.4%) were located in the stomach. Hemorrhage prophylaxis was performed in 219 (71.1%) patients. Nine patients presented AEs (2.9%), and 6 of them were bleeding (n = 6, 1.9%) (in 5 out of 6 AE, different types of endoscopic treatment were performed). Other 24 hemorrhagic episodes could be managed without any change in the outcome of the endoscopy and, consequently, were considered incidents. We did not find any independent risk factor of bleeding. CONCLUSION: Gastroduodenal polypectomy using prophylactic measures has a rate of AEs small enough to consider this procedure a safe and effective method for polyp resection independently of the polyp size and location. |
Note: | Reproducció del document publicat a: https://doi.org/10.3748/wjg.v23.i47.8405 |
It is part of: | World Journal of Gastroenterology, 2017, vol. 23, num. 47, p. 8405-8414 |
URI: | http://hdl.handle.net/2445/127549 |
Related resource: | https://doi.org/10.3748/wjg.v23.i47.8405 |
ISSN: | 1007-9327 |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
675477.pdf | 987.07 kB | Adobe PDF | View/Open |
This item is licensed under a Creative Commons License