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

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 p...

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Detalles Bibliográficos
Autores: Córdova, Henry, Argüello, Lidia, Loras, Carme, Naranjo Rodríguez, Antonio, Riu Pons, Fausto, Gornals, Joan B., Nicolás-Pérez, David, Andújar Murcia, Xavier, Hernández, Luis, Santolaria, Santos, Leal, Carles, Pons, Carles, Pérez-Cuadrado-Robles, Enrique, García-Bosch, Orlando, Papo Berger, Michel, Ulla Rocha, José Luis, Sánchez-Montes, Cristina, Fernández-Esparrach, Gloria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/36494
Acceso en línea:http://hdl.handle.net/10230/36494
http://dx.doi.org/10.3748/wjg.v23.i47.8405
Access Level:acceso abierto
Palabra clave:Pòlips (Patologia)
Adverse events
Foregut
Gastroduodenal
Polypectomy
Protruded polyps
Descripción
Sumario: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.

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