Risk factors for immediate postpolypectomy bleeding of the colon

A multicenter study

Hyunsoo Kim, Tae I. Kim, Won H. Kim, Young Ho Kim, Hyo J. Kim, Suk Kyun Yang, Seung Jae Myung, Jeong Sik Byeon, Moon S. Lee, Il K. Chung, Sung Ae Jung, Yoon T. Jeen, Jai H. Choi, Kyu Y. Choi, Hwang Choi, Dong S. Han, Jae S. Song

Research output: Contribution to journalArticle

172 Citations (Scopus)

Abstract

OBJECTIVES: The aims of this prospective study were to document the incidence of colon immediate postpolypectomy bleeding (IPPB) according to grade, and to identify potential risk factors of IPPB in patients who have received complete colonoscopy and polypectomy because of a colorectal polyp. METHODS: This was a prospective, cross-sectional study of 5,152 patients treated at 11 tertiary medical centers between July 2003 and July 2004. Patient-related, polyp-related, and procedure-related variables were evaluated as potential risk factors for IPPB. IPPB was defined as a bleeding occurring during the procedure and was graded as G1-G4. Risk factors associated with IPPB were analyzed by univariate and multivariate logistic regression analysis. RESULTS: A total of 9,336 colonic polyps were removed in 5,152 patients, and 262 (2.8%) colorectal polyps in 215 patients presented with IPPB. Polyp-based multivariate analysis revealed that old age (≥65 yr), comorbid cardiovascular or chronic renal disease, anticoagulant use, polyp size greater than 1 cm, gross morphology of polyps such as pedunculated polyp or laterally spreading tumor, poorer bowel preparation, cutting mode of the electrosurgical current, and the inadvertent cutting of a polyp before current application were significant risk factors for IPPB. CONCLUSION: Nine factors have been found to be associated with IPPB and polypectomy should be undertaken with caution under these conditions.

Original languageEnglish
Pages (from-to)1333-1341
Number of pages9
JournalAmerican Journal of Gastroenterology
Volume101
Issue number6
DOIs
Publication statusPublished - 2006 Jun 1

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Polyps
Multicenter Studies
Colon
Hemorrhage
Colonic Polyps
Colonoscopy
Chronic Renal Insufficiency
Anticoagulants
Multivariate Analysis
Cross-Sectional Studies
Logistic Models
Regression Analysis
Prospective Studies
Incidence
Neoplasms

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

Cite this

Kim, Hyunsoo ; Kim, Tae I. ; Kim, Won H. ; Kim, Young Ho ; Kim, Hyo J. ; Yang, Suk Kyun ; Myung, Seung Jae ; Byeon, Jeong Sik ; Lee, Moon S. ; Chung, Il K. ; Jung, Sung Ae ; Jeen, Yoon T. ; Choi, Jai H. ; Choi, Kyu Y. ; Choi, Hwang ; Han, Dong S. ; Song, Jae S. / Risk factors for immediate postpolypectomy bleeding of the colon : A multicenter study. In: American Journal of Gastroenterology. 2006 ; Vol. 101, No. 6. pp. 1333-1341.
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title = "Risk factors for immediate postpolypectomy bleeding of the colon: A multicenter study",
abstract = "OBJECTIVES: The aims of this prospective study were to document the incidence of colon immediate postpolypectomy bleeding (IPPB) according to grade, and to identify potential risk factors of IPPB in patients who have received complete colonoscopy and polypectomy because of a colorectal polyp. METHODS: This was a prospective, cross-sectional study of 5,152 patients treated at 11 tertiary medical centers between July 2003 and July 2004. Patient-related, polyp-related, and procedure-related variables were evaluated as potential risk factors for IPPB. IPPB was defined as a bleeding occurring during the procedure and was graded as G1-G4. Risk factors associated with IPPB were analyzed by univariate and multivariate logistic regression analysis. RESULTS: A total of 9,336 colonic polyps were removed in 5,152 patients, and 262 (2.8{\%}) colorectal polyps in 215 patients presented with IPPB. Polyp-based multivariate analysis revealed that old age (≥65 yr), comorbid cardiovascular or chronic renal disease, anticoagulant use, polyp size greater than 1 cm, gross morphology of polyps such as pedunculated polyp or laterally spreading tumor, poorer bowel preparation, cutting mode of the electrosurgical current, and the inadvertent cutting of a polyp before current application were significant risk factors for IPPB. CONCLUSION: Nine factors have been found to be associated with IPPB and polypectomy should be undertaken with caution under these conditions.",
author = "Hyunsoo Kim and Kim, {Tae I.} and Kim, {Won H.} and Kim, {Young Ho} and Kim, {Hyo J.} and Yang, {Suk Kyun} and Myung, {Seung Jae} and Byeon, {Jeong Sik} and Lee, {Moon S.} and Chung, {Il K.} and Jung, {Sung Ae} and Jeen, {Yoon T.} and Choi, {Jai H.} and Choi, {Kyu Y.} and Hwang Choi and Han, {Dong S.} and Song, {Jae S.}",
year = "2006",
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Kim, H, Kim, TI, Kim, WH, Kim, YH, Kim, HJ, Yang, SK, Myung, SJ, Byeon, JS, Lee, MS, Chung, IK, Jung, SA, Jeen, YT, Choi, JH, Choi, KY, Choi, H, Han, DS & Song, JS 2006, 'Risk factors for immediate postpolypectomy bleeding of the colon: A multicenter study', American Journal of Gastroenterology, vol. 101, no. 6, pp. 1333-1341. https://doi.org/10.1111/j.1572-0241.2006.00638.x

Risk factors for immediate postpolypectomy bleeding of the colon : A multicenter study. / Kim, Hyunsoo; Kim, Tae I.; Kim, Won H.; Kim, Young Ho; Kim, Hyo J.; Yang, Suk Kyun; Myung, Seung Jae; Byeon, Jeong Sik; Lee, Moon S.; Chung, Il K.; Jung, Sung Ae; Jeen, Yoon T.; Choi, Jai H.; Choi, Kyu Y.; Choi, Hwang; Han, Dong S.; Song, Jae S.

In: American Journal of Gastroenterology, Vol. 101, No. 6, 01.06.2006, p. 1333-1341.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Risk factors for immediate postpolypectomy bleeding of the colon

T2 - A multicenter study

AU - Kim, Hyunsoo

AU - Kim, Tae I.

AU - Kim, Won H.

AU - Kim, Young Ho

AU - Kim, Hyo J.

AU - Yang, Suk Kyun

AU - Myung, Seung Jae

AU - Byeon, Jeong Sik

AU - Lee, Moon S.

AU - Chung, Il K.

AU - Jung, Sung Ae

AU - Jeen, Yoon T.

AU - Choi, Jai H.

AU - Choi, Kyu Y.

AU - Choi, Hwang

AU - Han, Dong S.

AU - Song, Jae S.

PY - 2006/6/1

Y1 - 2006/6/1

N2 - OBJECTIVES: The aims of this prospective study were to document the incidence of colon immediate postpolypectomy bleeding (IPPB) according to grade, and to identify potential risk factors of IPPB in patients who have received complete colonoscopy and polypectomy because of a colorectal polyp. METHODS: This was a prospective, cross-sectional study of 5,152 patients treated at 11 tertiary medical centers between July 2003 and July 2004. Patient-related, polyp-related, and procedure-related variables were evaluated as potential risk factors for IPPB. IPPB was defined as a bleeding occurring during the procedure and was graded as G1-G4. Risk factors associated with IPPB were analyzed by univariate and multivariate logistic regression analysis. RESULTS: A total of 9,336 colonic polyps were removed in 5,152 patients, and 262 (2.8%) colorectal polyps in 215 patients presented with IPPB. Polyp-based multivariate analysis revealed that old age (≥65 yr), comorbid cardiovascular or chronic renal disease, anticoagulant use, polyp size greater than 1 cm, gross morphology of polyps such as pedunculated polyp or laterally spreading tumor, poorer bowel preparation, cutting mode of the electrosurgical current, and the inadvertent cutting of a polyp before current application were significant risk factors for IPPB. CONCLUSION: Nine factors have been found to be associated with IPPB and polypectomy should be undertaken with caution under these conditions.

AB - OBJECTIVES: The aims of this prospective study were to document the incidence of colon immediate postpolypectomy bleeding (IPPB) according to grade, and to identify potential risk factors of IPPB in patients who have received complete colonoscopy and polypectomy because of a colorectal polyp. METHODS: This was a prospective, cross-sectional study of 5,152 patients treated at 11 tertiary medical centers between July 2003 and July 2004. Patient-related, polyp-related, and procedure-related variables were evaluated as potential risk factors for IPPB. IPPB was defined as a bleeding occurring during the procedure and was graded as G1-G4. Risk factors associated with IPPB were analyzed by univariate and multivariate logistic regression analysis. RESULTS: A total of 9,336 colonic polyps were removed in 5,152 patients, and 262 (2.8%) colorectal polyps in 215 patients presented with IPPB. Polyp-based multivariate analysis revealed that old age (≥65 yr), comorbid cardiovascular or chronic renal disease, anticoagulant use, polyp size greater than 1 cm, gross morphology of polyps such as pedunculated polyp or laterally spreading tumor, poorer bowel preparation, cutting mode of the electrosurgical current, and the inadvertent cutting of a polyp before current application were significant risk factors for IPPB. CONCLUSION: Nine factors have been found to be associated with IPPB and polypectomy should be undertaken with caution under these conditions.

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