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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Autores: Córdova, Henry, Argüello, Lidia, Loras Alastruey, Carme, Naranjo Rodríguez, Antonio, Riu Pons, Faust, Gornals Soler, Joan B., Nicolás Pérez, David, Andújar Murcia, Xavier, Hernández, Luis, Santolaria, Santos, Leal Valdivieso, Carles, Pons Vilardell, Carles, Pérez-Cuadrado Robles, Enrique, García Bosch, Orlando, Papo Berger, Michel, Ulla Rocha, José L., Sánchez Montes, Cristina, Fernández Esparrach, Glòria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/127549
Acceso en línea:https://hdl.handle.net/2445/127549
Access Level:acceso abierto
Palabra clave:Endoscòpia
Duodè
Complicacions quirúrgiques
Pòlips (Patologia)
Endoscopy
Duodenum
Complications of surgery
Polyps (Pathology)
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spelling Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter studyCórdova, HenryArgüello, LidiaLoras Alastruey, CarmeNaranjo Rodríguez, AntonioRiu Pons, FaustGornals Soler, Joan B.Nicolás Pérez, DavidAndújar Murcia, XavierHernández, LuisSantolaria, SantosLeal Valdivieso, CarlesPons Vilardell, CarlesPérez-Cuadrado Robles, EnriqueGarcía Bosch, OrlandoPapo Berger, MichelUlla Rocha, José L.Sánchez Montes, CristinaFernández Esparrach, GlòriaEndoscòpiaDuodèComplicacions quirúrgiquesPòlips (Patologia)EndoscopyDuodenumComplications of surgeryPolyps (Pathology)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.Baishideng Publishing Group2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/127549Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3748/wjg.v23.i47.8405World Journal of Gastroenterology, 2017, vol. 23, num. 47, p. 8405-8414https://doi.org/10.3748/wjg.v23.i47.8405cc-by-nc (c) Córdova, Henry et al., 2017http://creativecommons.org/licenses/by-nc/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1275492026-05-27T06:46:51Z
dc.title.none.fl_str_mv Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
title Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
spellingShingle Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
Córdova, Henry
Endoscòpia
Duodè
Complicacions quirúrgiques
Pòlips (Patologia)
Endoscopy
Duodenum
Complications of surgery
Polyps (Pathology)
title_short Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
title_full Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
title_fullStr Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
title_full_unstemmed Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
title_sort Rate of adverse events of gastroduodenal snare polypectomy for non-flat polyp is low: A prospective and multicenter study
dc.creator.none.fl_str_mv Córdova, Henry
Argüello, Lidia
Loras Alastruey, Carme
Naranjo Rodríguez, Antonio
Riu Pons, Faust
Gornals Soler, Joan B.
Nicolás Pérez, David
Andújar Murcia, Xavier
Hernández, Luis
Santolaria, Santos
Leal Valdivieso, Carles
Pons Vilardell, Carles
Pérez-Cuadrado Robles, Enrique
García Bosch, Orlando
Papo Berger, Michel
Ulla Rocha, José L.
Sánchez Montes, Cristina
Fernández Esparrach, Glòria
author Córdova, Henry
author_facet Córdova, Henry
Argüello, Lidia
Loras Alastruey, Carme
Naranjo Rodríguez, Antonio
Riu Pons, Faust
Gornals Soler, Joan B.
Nicolás Pérez, David
Andújar Murcia, Xavier
Hernández, Luis
Santolaria, Santos
Leal Valdivieso, Carles
Pons Vilardell, Carles
Pérez-Cuadrado Robles, Enrique
García Bosch, Orlando
Papo Berger, Michel
Ulla Rocha, José L.
Sánchez Montes, Cristina
Fernández Esparrach, Glòria
author_role author
author2 Argüello, Lidia
Loras Alastruey, Carme
Naranjo Rodríguez, Antonio
Riu Pons, Faust
Gornals Soler, Joan B.
Nicolás Pérez, David
Andújar Murcia, Xavier
Hernández, Luis
Santolaria, Santos
Leal Valdivieso, Carles
Pons Vilardell, Carles
Pérez-Cuadrado Robles, Enrique
García Bosch, Orlando
Papo Berger, Michel
Ulla Rocha, José L.
Sánchez Montes, Cristina
Fernández Esparrach, Glòria
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Endoscòpia
Duodè
Complicacions quirúrgiques
Pòlips (Patologia)
Endoscopy
Duodenum
Complications of surgery
Polyps (Pathology)
topic Endoscòpia
Duodè
Complicacions quirúrgiques
Pòlips (Patologia)
Endoscopy
Duodenum
Complications of surgery
Polyps (Pathology)
description 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.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/127549
url https://hdl.handle.net/2445/127549
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3748/wjg.v23.i47.8405
World Journal of Gastroenterology, 2017, vol. 23, num. 47, p. 8405-8414
https://doi.org/10.3748/wjg.v23.i47.8405
dc.rights.none.fl_str_mv cc-by-nc (c) Córdova, Henry et al., 2017
http://creativecommons.org/licenses/by-nc/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc (c) Córdova, Henry et al., 2017
http://creativecommons.org/licenses/by-nc/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Baishideng Publishing Group
publisher.none.fl_str_mv Baishideng Publishing Group
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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