Erschienen in:
01.06.2014 | Editorial
Prophylactic Use of Endoclips Post-polypectomy: To Bleed or Not to Bleed?
verfasst von:
Hugh James Freeman
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 6/2014
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Excerpt
In recent decades, colonoscopic methods have enabled complete endoscopic excision of benign and malignant colonic polyps [
1,
2]. Removal of even sessile or depressed colon neoplastic lesions by endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) is now possible, as is management of complications including post-polypectomy bleeding. Specific “polyp factors” (e.g., large polyp size over 2 cm) and “patient factors” (e.g., anticoagulant use) can increase bleeding risk at the time of polyp resection as well as the risk for subsequent or delayed bleeding, sometimes reported to develop days to weeks later [
3,
4]. …