Prevention of late complications with coverage agents in endoscopic resection of colorectal lesions: Current landscape in gastrointestinal endoscopy

Fecha de publicación:

Autores de IIS La Fe

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Abstract

Endoscopic removal of large (>= 20 mm) non-pedunculated colorectal lesions (LNPCLs) may result in major adverse events, such as delayed bleeding (DB) and delayed perforation (DP), despite closure of the mucosal defects with clips. Topical application of a coverage agent refers to the creation of a shield with a biocompatible medical device (tissue or hydrogel) with proven bioactive properties. Coverage of the eschar after endoscopic resection provides shielding protection to prevent delayed complications. The aim of the present review was to systematically collect and review the currently available literature regarding the prevention of DB and DP with coverage agents after endoscopic mucosal resection or endoscopic submucosal dissection of LNPCLs.

Datos de la publicación

ISSN/ISSNe:
1007-9327, 2219-2840

WORLD JOURNAL OF GASTROENTEROLOGY  BAISHIDENG PUBLISHING GROUP INC

Tipo:
Review
Páginas:
1563-1568
PubMed:
33958843
Factor de Impacto:
1,229 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 9

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Keywords

  • Large colorectal lesions; Delayed bleeding; Topical application; Endoscopic mucosal resection; Endoscopic submucosal dissection

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