Prophylactic clip application for large pedunculated polyps before snare polypectomy may decrease immediate postpolypectomy bleeding

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Comparison of prophylactic clip and endoloop application for the prevention of postpolypectomy bleeding in pedunculated colonic polyps: a prospective, randomized, multicenter study.

BACKGROUND AND STUDY AIMS The effectiveness of the prophylactic clip for the prevention of postpolypectomy bleeding in pedunculated colonic polyps has not been confirmed. The aim of this prospective, randomized study was to compare the efficacy of prophylactic clip and endoloop application in the prevention of postpolypectomy bleeding in large pedunculated polyps. PATIENTS AND METHODS A total...

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Clipping for the Prevention of Immediate Bleeding after Polypectomy of Pedunculated Polyps: A Pilot Study

BACKGROUND/AIMS Immediate postpolypectomy bleeding (IPPB) increases the procedure time and it may disturb performing a safe polypectomy. The purpose of this study is to investigate whether clipping before snare polypectomy of large pedunculated polyps is useful for the prevention of IPPB. METHODS This is a single arm, pilot study. We enrolled patients with pedunculated colorectal polyps that ...

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Cold snare polypectomy for non-pedunculated colon polyps greater than 1 cm

Background and study aims Colonic polyps > 1 cm in size are commonly managed using hot polypectomy techniques. The most frequent adverse events (delayed bleeding, post-polypectomy syndrome, and perforation) are related to electrocautery-induced injury. We hypothesized that cold resection of large polyps may have similar efficacy and improved safety compared to hot polypectomy. Our aims were to ...

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Cold snare polypectomy reduced delayed postpolypectomy bleeding compared with conventional hot polypectomy: a propensity score-matching analysis

BACKGROUND AND STUDY AIMS  Cold snare polypectomy (CSP) for small colorectal polyps has lower incidence of adverse events, especially delayed postpolypectomy bleeding (DPPB). However, few data are available on comparisons of the incidence of DPPB of CSP and hot polypectomy (HP). The aim of this study was to evaluate the incidence of DPPB after CSP and compare it with that of HP. A propensity sc...

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Prediction and Prevention of Postpolypectomy Bleeding: Necessity of a Different Approach for Patients Using Antithrombotic Agents

Since the adenoma-carcinoma sequence regarding colorectal cancer was revealed, endoscopic resection of precancerous lesions such as adenoma is recognized as the most important method with respect to colorectal cancer prevention. Generally, endoscopic polypectomy is a safe, easy, and convenient procedure. However, procedures are not always safe to perform. Several complications such as postcoagu...

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ژورنال

عنوان ژورنال: BMC Gastroenterology

سال: 2020

ISSN: 1471-230X

DOI: 10.1186/s12876-020-01210-5