Back to Search Start Over

Updates on the Prevention and Management of Post-Polypectomy Bleeding in the Colon.

Authors :
Wehbe H
Gutta A
Gromski MA
Source :
Gastrointestinal endoscopy clinics of North America [Gastrointest Endosc Clin N Am] 2024 Apr; Vol. 34 (2), pp. 363-381. Date of Electronic Publication: 2023 Sep 27.
Publication Year :
2024

Abstract

Post-polypectomy bleeding (PPB) remains a significant procedure-related complication, with multiple risk factors determining the risk including patient demographics, polyp characteristics, endoscopist expertise, and techniques of polypectomy. Immediate PPB is usually treated promptly, but management of delayed PPB can be challenging. Cold snare polypectomy is the optimal technique for small sessile polyps with hot snare polypectomy for pedunculated and large sessile polyps. Topical hemostatic powders and gels are being investigated for the prevention and management of PPB. Further studies are needed to compare these topical agents with conventional therapy.<br />Competing Interests: Conflict of interest M.A. Gromski: Consultant (Boston Scientific). None of the other contributing authors have any conflict of interest, including specific financial interests or relationships and affiliations relevant to the subject matter or materials discussed in this article.<br /> (Copyright © 2023 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1558-1950
Volume :
34
Issue :
2
Database :
MEDLINE
Journal :
Gastrointestinal endoscopy clinics of North America
Publication Type :
Academic Journal
Accession number :
38395489
Full Text :
https://doi.org/10.1016/j.giec.2023.09.008