z-logo
open-access-imgOpen Access
Risk factors for delayed hemorrhage after colonoscopic postpolypectomy: Polyp size and operative modality
Author(s) -
Liu Changqin,
Wu Ruijin,
Sun Xiaomin,
Tao Chunhua,
Liu Zhanju
Publication year - 2019
Publication title -
jgh open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 8
ISSN - 2397-9070
DOI - 10.1002/jgh3.12106
Subject(s) - medicine , polypectomy , odds ratio , hepatology , colonoscopy , retrospective cohort study , gastroenterology , confidence interval , argon plasma coagulation , endoscopy , surgery , colorectal cancer , cancer
Background and Aim Delayed postpolypectomy hemorrhage is relatively common, with occasional extensive blood loss, endangering life. This study aimed to determine the factors associated with postoperative hemorrhage. Methods The study was a retrospective cohort study of patients hospitalized for colonoscopic polypectomy at the Department of Gastroenterology and Hepatology, Tenth People's Hospital of Tongji University, China, between January and December 2015. Data on gender, age, bowel preparation, location, size, number of polyps, operative modality, pathology, and operation practitioner were collected. Patients were divided into two groups based on the presence or absence of postoperative hemorrhage. Results A total of 1962 polyps were detected in patients and they underwent polypectomy; hemorrhage occurred in 41 cases. A correlation was demonstrated between postpolypectomy hemorrhage and each of the following factors: polyp size and operative modality. The odds ratio (OR) was 4.535 (95% confidence interval [CI], 2.331–8.823) for 1–2‐cm polyps, 4.008 (95% CI, 0.904–17.776) for 2–3‐cm polyps, and 22.407 (95% CI, 5.783–86.812) for ≥3‐cm polyps. Compared with argon plasma coagulation, OR was 9.128 (95% CI, 3.548–23.486) for endoscopic mucosal resection and 31.257 (95% CI, 7.009–139.395) for endoscopic submucosal dissection. Conclusions The independent risk factors for delayed postpolypectomy hemorrhage include polyp size and operative modality.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.
Having issues? You can contact us here