The 2 most significant complications of colonoscopy with polypectomy are bleeding and perforation. Although the incidence rates are generally low (<1%), these can be avoided by recognizing pertinent risk factors, which can be patient, polyp, and technique/device related. Endoscopists should be equipped to manage bleeding and perforation. Currently available devices and techniques to achieve hemostasis and manage colon perforations are reviewed.
Keywords: Colonoscopy; Complications; Perforation; Polypectomy; Postpolypectomy bleeding; Postpolypectomy syndrome; Risk factors.
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