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 Printable version |
Prevention of postpolypectomy bleeding in the colon |
Hépato-Gastro. Volume 15, Number 6, 449-55, Novembre-Décembre 2008, Mini-revue
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 Résumé
Texte intégral
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Author(s) : Michael Bensoussan, Romain Coriat, Ulriikka Chaput, Stanislas Chaussade, Frédéric Prat |
Summary : Polypectomy has a strong bleeding risk, which is most often immediate, and sometimes delayed. Prevention of this potentially serious adverse effect is essential. Preventive measures include identification of at risk patients before the procedure and an appropriate technique. The problem of anticoagulated patients is complex. It is desirable and usually possible to stop oral anticoagulant therapy with the administration of unfractionated heparin or low-molecular-weight heparin for the preprocedure and postprocedure periods in accordance with SFED guidelines. Aspirin and NSAIDs are no longer an obstacle to polypectomy. It is recommended to use an Endoloop
® for pediculated polyps, in particular when the stalk is large, but it is forbidden to use it for stalks <\; 4 mm. It is recommended to use hemostatic clips only after resection, on active bleeding, oozing and visible vessel. When possible, combined used of Endoloop
® and adrenaline is the most efficient technique. |
Keywords : polypectomy, prevention, oral anticoagulant therapy, adrenaline, Endoloop
®, clip |
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