Portal de investigación
Preventing Postendoscopic Mucosal Resection Bleeding of Large Nonpedunculated Colorectal Lesions
Autores de IIS La Fe
Participantes ajenos a IIS La Fe
- Albeniz, Eduardo
- Montori, Sheyla
- Rodriguez de Santiago, Enrique
- Alvarez, Marco Antonio
- Estremera-Arevalo, Fermin
- Pohl, Heiko
Grupos
Abstract
The most common major adverse event of endoscopic mucosal resection (EMR) is clinically significant post-EMR bleeding (CSPEB), with an incidence of 6%-7% in large lesions. Repeat colonoscopy, blood transfusions, or other interventions are often needed. The associated direct costs are much higher than those of an uncomplicated EMR. In this review, we discuss the aspects related to CSPEB of large nonpedunculated polyps, such as risk factors, predictive models, and prophylactic measures, and we highlight evidence for preventive treatment options and explore new methods for bleeding prophylaxis. We also provide recommendations for steps that can be taken before, during, and after EMR to minimize bleeding risk. Finally, this review proposes future directions to reduce CSPEB incidence.
Copyright © 2022 by The American College of Gastroenterology.
Datos de la publicación
- ISSN/ISSNe:
- 0002-9270, 1572-0241
- Tipo:
- Article
- Páginas:
- 1080-1088
- PubMed:
- 35765907
- Factor de Impacto:
- 2,683 SCImago ℠
- Cuartil:
- Q1 SCImago ℠
AMERICAN JOURNAL OF GASTROENTEROLOGY LIPPINCOTT WILLIAMS & WILKINS
Citas Recibidas en Web of Science: 11
Documentos
- No hay documentos
Filiaciones
Keywords
- DIRECT ORAL ANTICOAGULANTS; PROPHYLACTIC CLIP CLOSURE; ENDOSCOPIC RESECTION; LARGE SESSILE; GASTROINTESTINAL ENDOSCOPY; SUBMUCOSAL INJECTION; ADVERSE EVENTS; RISK-FACTORS; COLONOSCOPIC POLYPECTOMY; ANTITHROMBOTIC AGENTS
Campos de Estudio
Cita
Albeniz E,Montori S,Rodriguez de Santiago E,LORENZO V,Alvarez MA,Estremera F,Pohl H. Preventing Postendoscopic Mucosal Resection Bleeding of Large Nonpedunculated Colorectal Lesions. Am. J. Gastroenterol. 2022. 117. (7):p. 1080-1088. IF:10,200. (1).