Management of polypectomy complications

Selvi Thirumurthi; Gottumukkala S Raju

doi:10.1016/j.giec.2014.11.006

Management of polypectomy complications

Gastrointest Endosc Clin N Am. 2015 Apr;25(2):335-57. doi: 10.1016/j.giec.2014.11.006. Epub 2015 Feb 26.

Authors

Selvi Thirumurthi¹, Gottumukkala S Raju²

Affiliations

¹ Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1466, Houston, TX 77030, USA.
² Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1466, Houston, TX 77030, USA. Electronic address: [email protected].

PMID: 25839689
DOI: 10.1016/j.giec.2014.11.006

Abstract

The 2 most significant complications of colonoscopy with polypectomy are bleeding and perforation. Incidence rates for bleeding (0.1%-0.6%) and perforation (0.7%-0.9%) are generally low. Recognition of pertinent risk factors helps to prevent these complications, which can be grouped into patient-related, polyp-related, and technique/device-related factors. Endoscopists should be equipped to manage bleeding and perforation. Currently available devices and techniques are reviewed to achieve hemostasis and close colon perforations.

Keywords: Colonoscopy; Complications; Management; Perforation; Polypectomy; Postpolypectomy bleeding; Prevention.

Publication types

Review

MeSH terms

Colonic Diseases / diagnosis*
Colonoscopy / adverse effects*
Colonoscopy / methods*
Gastrointestinal Hemorrhage / etiology*
Gastrointestinal Hemorrhage / prevention & control
Gastrointestinal Hemorrhage / therapy
Hemostasis, Endoscopic / methods*
Humans
Intestinal Perforation / etiology*
Intestinal Perforation / prevention & control
Risk Factors