Child-pugh score is an independent risk factor for immediate bleeding after colonoscopic polypectomy in liver cirrhosis

Sangheun Lee, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Won Ho Kim, Dae Ryong Kang, Sung Pil Hong

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Purpose: Post-polypectomy bleeding is the most common colonoscopic polypectomy complication. However, the risk of post-polypectomy bleeding in liver cirrhosis is unknown. We aimed to evaluate the risk of post-polypectomy bleeding in patients with liver cirrhosis. Materials and Methods: We included 89 patients with liver cirrhosis who received colonoscopic polypectomy between January 2006 and October 2012. Three hundred forty-eight subjects without liver disease who underwent colonoscopic polypectomy comprised the control group. Risks of post-polypectomy bleeding were analyzed according to patient- and polyp-related factors. Results: Among 89 patients, 75 (84.3%) were Child-Pugh class A, 10 (11.2%) were class B, and 4 (4.5%) were class C. Incidence of immediate post-polypectomy bleeding was significantly increased in cirrhosis with Child-Pugh class B or C compared to liver cirrhosis with Child-Pugh class A or control group [hazard ratio (HR) 3.5; p<0.001]. Polyp size (HR 3.6; p=0.032) and pedunculated polyps (HR 2.4; p=0.022) were also significant risk factors for immediate post-polypectomy bleeding in multivariate analysis. Conclusion: Cirrhotic patients with Child-Pugh class B or C have a high risk of immediate post-polypectomy bleeding. Thus, endoscopists should be cautious about performing colonoscopic polypectomy in patients with Child-Pugh class B or C.

Original languageEnglish
Pages (from-to)1281-1288
Number of pages8
JournalYonsei medical journal
Volume55
Issue number5
DOIs
Publication statusPublished - 2014 Sep

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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