Risk factors for postpolypectomy bleeding after endoscopic mucosal resection
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    Abstract:

    Objective:Alimentary tract hemorrhage is the most frequent complication after colonoscopic polypectomy. The aim of this study was to identify the risk factors for postpolypectomy bleeding(PPB)after endoscopic mucosal resection(EMR). Methods:We retrospectively reviewed the clinical data of 111 patients who experienced PPB after EMR and 176 patients who did not. Results:Univariate logistic regression analysis showed that gender(male,P=0.008),numbers of polyps removed(≥3 polyps,P=0.001),polyp’ diameter(≥10 mm,P < 0.001),location(right colon,P=0.036),use of antithrombotic drug(P=0.015)were significantly correlated with PPB. Above factors,hypertension(P < 0.1)and pathological type(adenoma,P < 0.1)were analyzed by multivariate logistic regression,and only gender(male),polyps’ diameter(≥10 mm)and numbers of polyps removed(≥3 polyps)were significantly associated with PPB after EMR. Conclusion:Gender(male),polyps’ diameter(≥10 mm)and polyp number(≥3 polyps)are significantly associated with PPB after EMR,and we should pay more attention to these factors for preventing PPB

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李培培,王宇晴,倪 永,沙林玉,于莲珍.结直肠息肉内镜下黏膜切除术后出血的危险因素分析[J].南京医科大学学报(自然科学版英文版),2019,(3):360-364.

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History
  • Received:May 15,2018
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  • Online: April 01,2019
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