Adverse Events after Different Endoscopic Resection Procedures for Small and Intermediate-Sized Colorectal Polyps.

Autor:	Toyosawa J; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan, vy8nw7@bma.biglobe.ne.jp.; Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan, vy8nw7@bma.biglobe.ne.jp., Yamasaki Y; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan.; Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan., Aoyama Y; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Takei K; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Igawa S; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Inokuchi T; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Kinugasa H; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Takahara M; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Hiraoka S; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan., Okada H; Department of Internal Medicine, Japanese Red Cross Society Himeji Hospital, Himeji, Japan., Otsuka M; Department of Gastroenterology, Okayama University Hospital, Okayama, Japan.; Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Jazyk:	angličtina
Zdroj:	Digestive diseases (Basel, Switzerland) [Dig Dis] 2024 Aug 09, pp. 1-9. Date of Electronic Publication: 2024 Aug 09.
DOI:	10.1159/000540365
Abstrakt:	Introduction: Cold snare polypectomy (CSP) and underwater endoscopic mucosal resection (UEMR) have been developed recently, in addition to conventional methods, but adverse events of each method have not been fully clarified. We compared the outcomes of each method for the appropriate choice. Methods: Patients who underwent CSP, endoscopic mucosal resection (EMR)/hot snare polypectomy (HSP), or UEMR for small and intermediate-sized colorectal polyps between April 2017 and June 2020 were retrospectively examined. The rate of adverse events and recurrences due to each method were determined as the main outcomes. Clinical factors related to adverse events were examined. Results: A total of 1,025 patients with 3,163 polyps underwent polypectomy using any of the methods. CSP, EMR/HSP, and UEMR were performed for 704 (22.2%), 2,145 (67.8%), and 314 polyps (9.9%), and the median size for each method was 4, 6, and 7 mm, respectively. Delayed bleeding for CSP, EMR/HSP, and UEMR was 0%, 0.2%, and 0.6% (p = 0.15), and perforation was 0%, 0.1%, and 0%, respectively (p = 0.62). Recurrence after CSP, EMR/HSP, and UEMR was 0.3%, 0.09%, and 1.3%, respectively (p < 0.01). Recurrence for UEMR was significantly higher in the early stage of procedure introduction (p = 0.015). Oral anticoagulants were the risk factor for delayed bleeding (p < 0.01, respectively). Conclusion: There was no significant difference regarding adverse events among each method for small and intermediate-sized polyps, although the recurrence rate after UEMR was higher than other methods. (© 2024 S. Karger AG, Basel.)
Databáze:	MEDLINE
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