Risk of Delayed Bleeding after a Colorectal Endoscopic Mucosal Resection without Prophylactic Clipping: Single Center, Observational Study
10.4166/kjg.2019.74.6.326
- Author:
Hyeonjin KIM
1
;
Jae Hyun KIM
;
Youn Jung CHOI
;
Hye Jung KWON
;
Hee Kyung CHANG
;
Sung Eun KIM
;
Won MOON
;
Moo In PARK
;
Seun Ja PARK
Author Information
1. Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. parksj6406@daum.net
- Publication Type:Original Article
- Keywords:
Colonic polyps;
Endoscopic mucosal resection;
Hemorrhage
- MeSH:
Colonic Polyps;
Female;
Hemorrhage;
Humans;
Incidence;
Male;
Observational Study;
Polyps;
Risk Factors
- From:The Korean Journal of Gastroenterology
2019;74(6):326-332
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Bleeding is one of the major complications of a colorectal polypectomy. The aim of this study was to identify the risk of delayed bleeding, particularly after a colorectal endoscopic mucosal resection (EMR) without prophylactic clipping.METHODS: Between April 2014 and August 2014, patients who underwent colorectal EMR (≥6 mm and < 2 cm) without prophylactic clipping were included. This study evaluated the incidence of delayed bleeding and the associated factors after colorectal EMR without prophylactic clipping.RESULTS: A total of 717 colorectal polyps (≥6 mm and < 2 cm) of 243 patients resected by colorectal EMR in the study period were evaluated. The mean age of the patients was 63 years; 165 patients were men and 78 patients were women. The mean polyp size removed by colorectal EMR was 9.0 mm (range 6.0–19.0), and the number of polyps larger than 1 cm was 212 (29.6%). Delayed bleeding after colorectal EMR occurred in 12 polyps (1.7%) in eight patients (3.3%), and there were no significant risk factors affecting delayed bleeding.CONCLUSIONS: This study identified that the incidence of delayed bleeding on colorectal polyps (≥6 mm and < 2 cm) after EMR without prophylactic clipping was 3.3%, but no significant risk factors affecting delayed bleeding were found.
