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Risk Factors for Delayed Post-Polypectomy Bleeding
BACKGROUND/AIMS: Among the many complications that can occur following therapeutic endoscopy, bleeding is the most serious, which occurs in 1.0-6.1% of all colonoscopic polypectomies. The aim of this study was to identify risk factors of delayed post-polypectomy bleeding (PPB). METHODS: We retrospec...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Association for the Study of Intestinal Diseases
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4414758/ https://www.ncbi.nlm.nih.gov/pubmed/25932001 http://dx.doi.org/10.5217/ir.2015.13.2.160 |
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author | Kwon, Min Jung Kim, You Sun Bae, Song I Park, Young Il Lee, Kyung Jin Min, Jung Hwa Jo, Soo Yeon Kim, Mi Young Jung, Hye Jin Jeong, Seong Yeon Yoon, Won Jae Kim, Jin Nam Moon, Jeong Seop |
author_facet | Kwon, Min Jung Kim, You Sun Bae, Song I Park, Young Il Lee, Kyung Jin Min, Jung Hwa Jo, Soo Yeon Kim, Mi Young Jung, Hye Jin Jeong, Seong Yeon Yoon, Won Jae Kim, Jin Nam Moon, Jeong Seop |
author_sort | Kwon, Min Jung |
collection | PubMed |
description | BACKGROUND/AIMS: Among the many complications that can occur following therapeutic endoscopy, bleeding is the most serious, which occurs in 1.0-6.1% of all colonoscopic polypectomies. The aim of this study was to identify risk factors of delayed post-polypectomy bleeding (PPB). METHODS: We retrospectively reviewed the data of patients who underwent colonoscopic polypectomy between January 2003 and December 2012. We compared patients who experienced delayed PPB with those who did not. The control-to-patient ratio was 3:1. The clinical data analyzed included polyp size, number, location, and shape, patient' body mass index (BMI), preventive hemostasis, and endoscopist experience. RESULTS: Of 1,745 patients undergoing colonoscopic polypectomy, 21 (1.2%) experienced significant delayed PPB. We selected 63 age- and sex-matched controls. Multivariate logistic regression analysis showed that polyps >10 mm (odds ratio [OR], 2.605; 95% confidence interval [CI], 1.035-4.528; P=0.049), a pedunculated polyp (OR, 3.517; 95% CI, 1.428-7.176; P=0.045), a polyp located in the right hemicolon (OR, 3.10; 95% CI, 1.291-5.761; P=0.013), and a high BMI (OR, 3.681; 95% CI, 1.876-8.613; P=0.013) were significantly associated with delayed PPB. CONCLUSIONS: Although delayed PPB is a rare event, more caution is needed during colonoscopic polypectomies performed in patients with high BMI or large polyps, pedunculated polyps, or polyps located in the right hemicolon. |
format | Online Article Text |
id | pubmed-4414758 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Korean Association for the Study of Intestinal Diseases |
record_format | MEDLINE/PubMed |
spelling | pubmed-44147582015-04-30 Risk Factors for Delayed Post-Polypectomy Bleeding Kwon, Min Jung Kim, You Sun Bae, Song I Park, Young Il Lee, Kyung Jin Min, Jung Hwa Jo, Soo Yeon Kim, Mi Young Jung, Hye Jin Jeong, Seong Yeon Yoon, Won Jae Kim, Jin Nam Moon, Jeong Seop Intest Res Original Article BACKGROUND/AIMS: Among the many complications that can occur following therapeutic endoscopy, bleeding is the most serious, which occurs in 1.0-6.1% of all colonoscopic polypectomies. The aim of this study was to identify risk factors of delayed post-polypectomy bleeding (PPB). METHODS: We retrospectively reviewed the data of patients who underwent colonoscopic polypectomy between January 2003 and December 2012. We compared patients who experienced delayed PPB with those who did not. The control-to-patient ratio was 3:1. The clinical data analyzed included polyp size, number, location, and shape, patient' body mass index (BMI), preventive hemostasis, and endoscopist experience. RESULTS: Of 1,745 patients undergoing colonoscopic polypectomy, 21 (1.2%) experienced significant delayed PPB. We selected 63 age- and sex-matched controls. Multivariate logistic regression analysis showed that polyps >10 mm (odds ratio [OR], 2.605; 95% confidence interval [CI], 1.035-4.528; P=0.049), a pedunculated polyp (OR, 3.517; 95% CI, 1.428-7.176; P=0.045), a polyp located in the right hemicolon (OR, 3.10; 95% CI, 1.291-5.761; P=0.013), and a high BMI (OR, 3.681; 95% CI, 1.876-8.613; P=0.013) were significantly associated with delayed PPB. CONCLUSIONS: Although delayed PPB is a rare event, more caution is needed during colonoscopic polypectomies performed in patients with high BMI or large polyps, pedunculated polyps, or polyps located in the right hemicolon. Korean Association for the Study of Intestinal Diseases 2015-04 2015-04-27 /pmc/articles/PMC4414758/ /pubmed/25932001 http://dx.doi.org/10.5217/ir.2015.13.2.160 Text en © Copyright 2015. Korean Association for the Study of Intestinal Diseases. All rights reserved. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kwon, Min Jung Kim, You Sun Bae, Song I Park, Young Il Lee, Kyung Jin Min, Jung Hwa Jo, Soo Yeon Kim, Mi Young Jung, Hye Jin Jeong, Seong Yeon Yoon, Won Jae Kim, Jin Nam Moon, Jeong Seop Risk Factors for Delayed Post-Polypectomy Bleeding |
title | Risk Factors for Delayed Post-Polypectomy Bleeding |
title_full | Risk Factors for Delayed Post-Polypectomy Bleeding |
title_fullStr | Risk Factors for Delayed Post-Polypectomy Bleeding |
title_full_unstemmed | Risk Factors for Delayed Post-Polypectomy Bleeding |
title_short | Risk Factors for Delayed Post-Polypectomy Bleeding |
title_sort | risk factors for delayed post-polypectomy bleeding |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4414758/ https://www.ncbi.nlm.nih.gov/pubmed/25932001 http://dx.doi.org/10.5217/ir.2015.13.2.160 |
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