RT Journal Article
T1 Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study.
A1 Córdova, Henry
A1 Argüello, Lidia
A1 Loras, Carme
A1 Naranjo Rodríguez, Antonio
A1 Riu Pons, Faust
A1 Gornals, Joan B
A1 Nicolás-Pérez, David
A1 Andújar Murcia, Xavier
A1 Hernández, Luis
A1 Santolaria, Santos
A1 Leal, Carles
A1 Pons, Carles
A1 Pérez-Cuadrado-Robles, Enrique
A1 García-Bosch, Orlando
A1 Papo Berger, Michel
A1 Ulla Rocha, José Luis
A1 Sánchez-Montes, Cristina
A1 Fernández-Esparrach, Gloria
K1 Adverse events
K1 Bleeding
K1 Foregut
K1 Gastroduodenal
K1 Polypectomy
K1 Protruded polyps
AB To evaluate the rate of adverse events (AEs) during consecutive gastric and duodenal polypectomies in several Spanish centers. 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. 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. 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.
YR 2017
FD 2017
LK http://hdl.handle.net/10668/11976
UL http://hdl.handle.net/10668/11976
LA en
DS RISalud
RD Apr 12, 2025