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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/127549
Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
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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.
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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. Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study. _World Journal of Gastroenterology_. 2017. Vol. 23, núm. 47, pàgs. 8405-8414. [consulta: 24 de gener de 2026]. ISSN: 1007-9327. [Disponible a: https://hdl.handle.net/2445/127549]