Annals of Coloproctology

Original Article

Analysis of Delayed Postpolypectomy Bleeding in a Colorectal Clinic: Do Hyoung Kim, Seok Won Lim; J Korean Soc Coloproctol. 2011;27(1):13-16. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.13

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Purpose

The colonoscopic polypectomy has become a valuable procedure for removing precursors of colorectal cancer, but some complications can be occurred. The most common complication after colonoscopic polypectomy is bleeding, which is reported to range from 1% to 6% and which can be immediate or delayed. Because the management of delayed postpolypectomy bleeding could be difficult, the use of preventive technique and reductions of risk factors are essential.

Methods

From January 2007 to December 2008, delayed hemorrhage occurred in 18 of the 1,841 polypectomy patients examined by one endoscopist. These cases were reviewed retrospectively for risk factors, pathologic findings, and treatment methods.

Results

Delayed bleeding occurred in 18/1,841 patients (0.95%). The mean age was 55.9 ± 10.9 years, and the male-to-female ratio was 8:1. The most common site was the right colon (11 cases, 61.1%), and the average polyp size was 9.2 ± 2.8 mm. Delayed bleeding was identified from 1 to 5 days after resection (mean, 1.6 ± 1.2 days). The most common macroscopic type of polyp was a sessile polyp (10 cases, 55.6%), and histologic finding was a tubular adenoma in 13 cases (72.2%). Seventeen cases were treated with clipping for hemostasis and 1 case with epinephrine injection.

Conclusion

The right colon and a sessile polyp were associated with an increase in delayed postpolypectomy bleeding. Reducing risk factors and close observation were essential in high risk patients, and prompt management with hemoclips was effective.

Citations

Citations to this article as recorded by

Delphi consensus statement for the management of delayed post-polypectomy bleeding
Enrique Rodríguez de Santiago, Sandra Pérez de la Iglesia, Diego de Frutos, José Carlos Marín-Gabriel, Carolina Mangas-SanJuan, Raúl Honrubia López, Hugo Uchima, Marta Aicart-Ramos, Miguel Ángel Rodríguez Gandía, Eduardo Valdivielso Cortázar, Felipe Ramos
Therapeutic Advances in Gastroenterology.2025;[Epub] CrossRef
Real-world local recurrence rate after cold polypectomy in colorectal polyps less than 10 mm using propensity score matching
Masashi Saito, Takeshi Yamamura, Masanao Nakamura, Keiko Maeda, Tsunaki Sawada, Eri Ishikawa, Yasuyuki Mizutani, Takuya Ishikawa, Naomi Kakushima, Kazuhiro Furukawa, Eizaburo Ohno, Hiroki Kawashima, Masatoshi Ishigami, Mitsuhiro Fujishiro
World Journal of Gastroenterology.2021; 27(47): 8182. CrossRef
Risk factors for delayed hemorrhage after colonoscopic postpolypectomy: Polyp size and operative modality
Changqin Liu, Ruijin Wu, Xiaomin Sun, Chunhua Tao, Zhanju Liu
JGH Open.2019; 3(1): 61. CrossRef
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Yunho Jung, Il Kwun Chung, Young Sin Cho, Tae Hoon Lee, Sang-Heum Park, Ji Sung Lee, Sun Joo Kim
Digestive Diseases and Sciences.2015; 60(10): 3100. CrossRef
Risk Factors for Delayed Post-Polypectomy Bleeding
Min Jung Kwon, You Sun Kim, Song I Bae, Young Il Park, Kyung Jin Lee, Jung Hwa Min, Soo Yeon Jo, Mi Young Kim, Hye Jin Jung, Seong Yeon Jeong, Won Jae Yoon, Jin Nam Kim, Jeong Seop Moon
Intestinal Research.2015; 13(2): 160. CrossRef
Risk factors for delayed post‐polypectomy hemorrhage: A case‐control study
Jeong Ho Kim, Hyun Jeong Lee, Ji Won Ahn, Dae Young Cheung, Jin Il Kim, Soo‐Heon Park, Jae Kwang Kim
Journal of Gastroenterology and Hepatology.2013; 28(4): 645. CrossRef
Serum C-reactive Protein As a Possible Marker to Predict Delayed Hemorrhage After Colonoscopic Polypectomy
Liangqin Wu, Tiemei Han, Xiaoyuan Fan, Wensheng Pan, Chunfu Wang, Hua Zhong, Xinbo Ai, Wanjun Zhang, Xiang Xu, Zaiyuan Ye, Takesh Terai, Nobuhiro Sato, Sumio Watanabe, Undurti N. Das
Medical Science Monitor.2012; 18(8): CR480. CrossRef
Endoscopic mucosal resection with an over-the-counter hyaluronate preparation
Shai Friedland, Shivangi Kothari, Ann Chen, Walter Park, Subhas Banerjee
Gastrointestinal Endoscopy.2012; 75(5): 1040. CrossRef

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