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Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Cordova, H
  • Arguello, L
  • Loras, C
  • Naranjo Rodriguez, Antonio
  • Riu Pons, Faust
  • Gornals, JB
  • Nicolas-Perez, D
  • Andujar Murcia, Xavier
  • Hernandez, L
  • Santolaria, S
  • Leal, C
  • Pons, C
  • Perez-Cuadrado-Robles, E
  • Garcia-Bosch, O
  • Papo Berger, Michel
  • Ulla Rocha, Jose Luis
  • Fernandez-Esparrach, G

Grupos

Abstract

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.

Datos de la publicación

ISSN/ISSNe:
1007-9327, 2219-2840

WORLD JOURNAL OF GASTROENTEROLOGY  BAISHIDENG PUBLISHING GROUP INC

Tipo:
Article
Páginas:
8405-8414
PubMed:
29308000
Factor de Impacto:
1,409 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 1

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Keywords

  • Polypectomy; Bleeding; Adverse events; Protruded polyps; Gastroduodenal; Foregut

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