Clinical outcome of endoscopic management in delayed postpolypectomy bleeding

Intestinal research
Jeong-Mi LeeJeong-Sik Byeon

Abstract

The clinical course after endoscopic management of delayed postpolypectomy bleeding (DPPB) has not been clearly determined. This study aimed to assess clinical outcomes after endoscopic hemostasis of DPPB and evaluate risk factors for rebleeding after initial hemostasis. We reviewed medical records of 198 patients who developed DPPB and underwent endoscopic hemostasis between January 2010 and February 2015. The performance of endoscopic hemostasis was assessed. Rebleeding negative and positive patients were compared. DPPB developed 1.4±1.6 days after colonoscopic polypectomy. All patients achieved initial hemostasis. Clipping was the most commonly used technique. Of 198 DPPB patients, 15 (7.6%) had rebleeding 3.3±2.5 days after initial hemostasis. The number of clips required for hemostasis was higher in the rebleeding positive group (3.2±1.6 vs. 4.2±1.9, P=0.047). Combinations of clipping with other modalities such as injection methods were more common in the rebleeding positive group (67/291, 23.0% vs. 12/17, 70.6%; P<0.001). Multivariate analysis showed a large number of clips and combination therapy were independent risk factors for rebleeding. All the rebleeding cases were successfully managed by repeat endoscopic hemostas...Continue Reading

References

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Citations

Jan 12, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A RajendranA Haycock
Jul 12, 2019·Journal of the Canadian Association of Gastroenterology·Matthew Woo, Robert Bechara
Apr 10, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Enrique Rodríguez de SantiagoUNKNOWN Endoscopy Group of the Spanish Gastroenterology Association

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