Colonoscopy with Polypectomy in Patients Taking Clopidogrel
نویسندگان
چکیده
BACKGROUND AND AIMS To investigate the bleeding risk of colonoscopy with polypectomy in patients taking clopidogrel. METHODS Retrospective review of patients undergoing colonoscopy with polypectomy without interruption of clopidogrel. Patients with lesions larger than 1cm were generally rescheduled for polypectomy off clopidogrel. Most of the polyps were removed using cold snare technique. Endoscopic clips were routinely applied prophylactically. RESULTS A total of 125 polypectomies were performed in 60 patients. The average polyp size was 5.4 ± 2.1 mm. One patient (1.7%, CI 0.3-8.9%) developed post-polypectomy bleeding that resolved without treatment. Three patients (5%, CI 1.7-14%) had immediate bleeding during the procedure and all resolved with prompt clip application. CONCLUSIONS Polypectomy of lesions up to 1cm in size can be performed without interruption of clopidogrel.
منابع مشابه
Meta-analysis: colonoscopic post-polypectomy bleeding in patients on continued clopidogrel therapy.
BACKGROUND Current guidelines recommend the cessation of clopidogrel therapy 5 days and 7-10 days prior to colonoscopic polypectomy. Recent studies have advocated for continued clopidogrel as post-polypectomy bleeding (PPB) rates have been similar to those in the general population not on antithrombotic therapy. AIM To assess colonoscopic post-polypectomy bleeding in patients on continued clo...
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