Safety and efficacy of colon polypectomy in patients taking antithrombotic drugs
10.3969/j.issn.1672-2159.2024.06.003
- VernacularTitle:结肠息肉切除术在服用抗血栓药物患者中的安全性与有效性
- Author:
Chen MU
1
;
Han ZHANG
;
Ying LIU
;
Xue LI
;
Rui GU
;
Chun-Yan CAO
;
Xu GUO
Author Information
1. 100037 中国医学科学院北京协和医学院国家心血管病中心阜外医院消化内科
- Keywords:
endoscopic polypectomy;
colon polyps;
antithrombotic therapy;
anticoagulation therapy;
antiplatelet therapy
- From:
Modern Interventional Diagnosis and Treatment in Gastroenterology
2024;29(6):660-663
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and effectiveness of colon polypectomy in patients taking antithrombotic drugs.Methods Polyps treated with endoscopic polypectomy at the Department of Gastroenterology,Fu Wai Hospital,Chinese Academy of Medical Sciences,from August 2022 to August 2023 were retrospectively analyzed for the site of polyp,postoperative delayed hemorrhage,perforation,and the completeness of resection,specimen retrieval,and the occurrence of postoperative ischemic events.Results A total of 103 polyps were included in the study,which were divided into two groups according to whether the diameter of the polyp was＞10 mm(87 cases in the small polyp group vs 16 cases in the large polyp group),and there was no statistically significant difference between the two groups in terms of the site of the polyp,its morphology,the type of antithrombotic drug taken,the rate of curative resection,the rate of postoperative hemorrhagic events,and the incidence of postoperative ischemic events;the large polyp group chose more often to undergo EMR treatment(small polyp group vs.large polyp group,4.6％vs.45.5％,P=0.004);postoperative pathology was more adenomatous polyps in the large polyp group(small polyp group vs.large polyp group,77.0％vs.93.8％,P=0.027).Conclusion Endoscopic polypectomy can be used safely and effectively in patients taking antithrombotic drugs.
