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Endoscopic Management of Post-Polypectomy Bleeding

Post-polypectomy bleeding (PPB) is one of the most common complications of endoscopic polypectomy. There are multiple risk factors related to patient and polyp characteristics that should be considered. In most cases, immediate PPB can be effectively managed endoscopically when recognized and manage...

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Detalles Bibliográficos
Autores principales: Gutta, Aditya, Gromski, Mark A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280838/
https://www.ncbi.nlm.nih.gov/pubmed/31525836
http://dx.doi.org/10.5946/ce.2019.062
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author Gutta, Aditya
Gromski, Mark A.
author_facet Gutta, Aditya
Gromski, Mark A.
author_sort Gutta, Aditya
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description Post-polypectomy bleeding (PPB) is one of the most common complications of endoscopic polypectomy. There are multiple risk factors related to patient and polyp characteristics that should be considered. In most cases, immediate PPB can be effectively managed endoscopically when recognized and managed promptly. Delayed PPB can manifest in a myriad of ways. In severe delayed PPB, resuscitation for hemodynamic stabilization should be prioritized, followed by endoscopic evaluation and therapy once the patient is stabilized. Future areas of research in PPB include the risks of direct oral anticoagulants and of specific electrosurgical settings for hot-snare polypectomy vs. cold-snare polypectomy, benefits of closure of post-polypectomy mucosal defects using through-the-scope clips, and prospective comparative evaluation of newer hemostasis agents such as hemostatic spray powder and over-the-scope clips.
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spelling pubmed-72808382020-06-17 Endoscopic Management of Post-Polypectomy Bleeding Gutta, Aditya Gromski, Mark A. Clin Endosc Review Post-polypectomy bleeding (PPB) is one of the most common complications of endoscopic polypectomy. There are multiple risk factors related to patient and polyp characteristics that should be considered. In most cases, immediate PPB can be effectively managed endoscopically when recognized and managed promptly. Delayed PPB can manifest in a myriad of ways. In severe delayed PPB, resuscitation for hemodynamic stabilization should be prioritized, followed by endoscopic evaluation and therapy once the patient is stabilized. Future areas of research in PPB include the risks of direct oral anticoagulants and of specific electrosurgical settings for hot-snare polypectomy vs. cold-snare polypectomy, benefits of closure of post-polypectomy mucosal defects using through-the-scope clips, and prospective comparative evaluation of newer hemostasis agents such as hemostatic spray powder and over-the-scope clips. Korean Society of Gastrointestinal Endoscopy 2020-05 2019-09-17 /pmc/articles/PMC7280838/ /pubmed/31525836 http://dx.doi.org/10.5946/ce.2019.062 Text en Copyright © 2020 Korean Society of Gastrointestinal Endoscopy 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 Review
Gutta, Aditya
Gromski, Mark A.
Endoscopic Management of Post-Polypectomy Bleeding
title Endoscopic Management of Post-Polypectomy Bleeding
title_full Endoscopic Management of Post-Polypectomy Bleeding
title_fullStr Endoscopic Management of Post-Polypectomy Bleeding
title_full_unstemmed Endoscopic Management of Post-Polypectomy Bleeding
title_short Endoscopic Management of Post-Polypectomy Bleeding
title_sort endoscopic management of post-polypectomy bleeding
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280838/
https://www.ncbi.nlm.nih.gov/pubmed/31525836
http://dx.doi.org/10.5946/ce.2019.062
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