000065322 001__ 65322
000065322 005__ 20190709135643.0
000065322 0247_ $$2doi$$a10.3748/wjg.v23.i47.8405
000065322 0248_ $$2sideral$$a104254
000065322 037__ $$aART-2017-104254
000065322 041__ $$aeng
000065322 100__ $$aCórdova, H.
000065322 245__ $$aRate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
000065322 260__ $$c2017
000065322 5060_ $$aAccess copy available to the general public$$fUnrestricted
000065322 5203_ $$aAIM To evaluate the rate of adverse events (AEs) during consecutive gastric and duodenal polypectomies in several Spanish centers. METHODS Polypectomies of protruded gastric or duodenal polyps = 5 mm using hot snare were prospectively included. Prophylactic measures of hemorrhage were allowed in predefined cases. AEs were defined and graded according to the lexicon recommended by the American Society for Gastrointestinal Endoscopy. Patients were followed for 48 h, one week and 1 mo after the procedure. RESULTS 308 patients were included and a single polypectomy was performed in 205. Only 36 (11.7%) were on prior anticoagulant therapy. Mean polyp size was 15 ± 8.9 mm (5-60) and in 294 cases (95.4%) were located in the stomach. Hemorrhage prophylaxis was performed in 219 (71.1%) patients. Nine patients presented AEs (2.9%), and 6 of them were bleeding (n = 6, 1.9%) (in 5 out of 6 AE, different types of endoscopic treatment were performed). Other 24 hemorrhagic episodes could be managed without any change in the outcome of the endoscopy and, consequently, were considered incidents. We did not find any independent risk factor of bleeding. CONCLUSION Gastroduodenal polypectomy using prophylactic measures has a rate of AEs small enough to consider this procedure a safe and effective method for polyp resection independently of the polyp size and location.
000065322 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000065322 590__ $$a3.3$$b2017
000065322 591__ $$aGASTROENTEROLOGY & HEPATOLOGY$$b35 / 80 = 0.438$$c2017$$dQ2$$eT2
000065322 592__ $$a1.409$$b2017
000065322 593__ $$aMedicine (miscellaneous)$$c2017$$dQ1
000065322 593__ $$aGastroenterology$$c2017$$dQ1
000065322 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000065322 700__ $$aArgüello, L.
000065322 700__ $$aLoras, C.
000065322 700__ $$aNaranjo Rodríguez, A.
000065322 700__ $$aRiu Pons, F.
000065322 700__ $$aGornals, J.B.
000065322 700__ $$aNicolás-Pérez, D.
000065322 700__ $$aAndújar Murcia, X.
000065322 700__ $$aHernández, L.
000065322 700__ $$0(orcid)0000-0003-4414-2361$$aSantolaria, S.
000065322 700__ $$aLeal, C.
000065322 700__ $$aPons, C.
000065322 700__ $$aPérez-Cuadrado-Robles, E.
000065322 700__ $$aGarcía-Bosch, O.
000065322 700__ $$aPapo Berger, M.
000065322 700__ $$aUlla Rocha, J.L.
000065322 700__ $$aSánchez-Montes, C.
000065322 700__ $$aFernández-Esparrach, G.
000065322 773__ $$g23, 47 (2017), 8405-8414$$tWORLD JOURNAL OF GASTROENTEROLOGY$$x1007-9327
000065322 8564_ $$s646067$$uhttps://zaguan.unizar.es/record/65322/files/texto_completo.pdf$$yVersión publicada
000065322 8564_ $$s81469$$uhttps://zaguan.unizar.es/record/65322/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000065322 909CO $$ooai:zaguan.unizar.es:65322$$particulos$$pdriver
000065322 951__ $$a2019-07-09-12:39:16
000065322 980__ $$aARTICLE