Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
Córdova, H. ; Argüello, L. ; Loras, C. ; Naranjo Rodríguez, A. ; Riu Pons, F. ; Gornals, J.B. ; Nicolás-Pérez, D. ; Andújar Murcia, X. ; Hernández, L. ; Santolaria, S. ; Leal, C. ; Pons, C. ; Pérez-Cuadrado-Robles, E. ; García-Bosch, O. ; Papo Berger, M. ; Ulla Rocha, J.L. ; Sánchez-Montes, C. ; Fernández-Esparrach, G.
Resumen: AIM 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.
Idioma: Inglés
DOI: 10.3748/wjg.v23.i47.8405
Año: 2017
Publicado en: WORLD JOURNAL OF GASTROENTEROLOGY 23, 47 (2017), 8405-8414
ISSN: 1007-9327
Factor impacto JCR: 3.3 (2017)
Categ. JCR: GASTROENTEROLOGY & HEPATOLOGY rank: 35 / 80 = 0.438 (2017) - Q2 - T2
Factor impacto SCIMAGO: 1.409 - Medicine (miscellaneous) (Q1) - Gastroenterology (Q1)
Tipo y forma: Article (Published version)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Idioma: Inglés
DOI: 10.3748/wjg.v23.i47.8405
Año: 2017
Publicado en: WORLD JOURNAL OF GASTROENTEROLOGY 23, 47 (2017), 8405-8414
ISSN: 1007-9327
Factor impacto JCR: 3.3 (2017)
Categ. JCR: GASTROENTEROLOGY & HEPATOLOGY rank: 35 / 80 = 0.438 (2017) - Q2 - T2
Factor impacto SCIMAGO: 1.409 - Medicine (miscellaneous) (Q1) - Gastroenterology (Q1)
Tipo y forma: Article (Published version)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2019-07-09-12:39:16)
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Record created 2018-02-16, last modified 2019-07-09