지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 287 - 292 (6page)
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초록· 키워드
오류제보하기
Background/Aims: We studied factors influencing colon postpolypectomy bleeding (PPB), with a focus on antithrombotic and anticoagulation therapy.
Methods: We conducted a retrospective case-control study of all patients who underwent polypectomy at our tertiary referral center in Italy between 2007 and 2014. Polyp characteristics (number of polyps removed per patient, size, morphology, location, resection technique, prophylactic hemostasis methods) and patient characteristics (age, sex, comorbidities, medication) were analyzed.
Results: The case and control groups included 118 and 539 patients, respectively. The two groups differed in the frequency of comorbidities (69% vs. 40%, p=0.001), polyps removed (27% vs. 18%, p=0.02), and use of heparin therapy (23% vs. 1%, p<0.001). A total of 279 polyps in the case group and 966 in the control group were nonpedunculated (69% vs. 81%, p=0.01) and measured ≥10 mm (78% vs. 32%, p=0.001). Multivariate analysis showed that polyps ≥10 mm (odds ratio [OR], 6.1; 95% confidence interval [CI], 2.3–15.5), administration of heparin (OR, 16.5; 95% CI, 6.2–44), comorbidity (OR, 2.3; 95% CI, 1.4–3.9), and presence of ≥2 risk factors (OR, 3.2; 95% CI, 1.7–6.0) were associated with PPB.
Conclusions: The incidence of PPB increases with polyp size ≥10 mm, heparin use, comorbidity, and presence of ≥2 risk factors.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Amato A / 2016 / Early and delayed complications of polypectomy in a community setting: The SPoC prospective multicentre trial / Dig Liver Dis 48 : 43 ~ 48
Bowles CJ / 2004 / A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow? / Gut 53 : 277 ~
Choung BS / 2014 / Incidence and risk factors of delayed postpolypectomy bleeding: a retrospective cohort study / J Clin Gastroenterol 48 : 784 ~ 789
Douketis JD / 2012 / Perioperative management of antithrombotic therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians ev
Gandhi S / 2013 / Meta-analysis:colonoscopic post-polypectomy bleeding in patients on continued clopidogrel therapy / Aliment Pharmacol Ther 37 : 947 ~ 952
Bowles CJ / 2004 / A prospective study of colonoscopy practice in the UK today: are we adequately prepared for national colorectal cancer screening tomorrow? / Gut 53 : 277 ~
Choung BS / 2014 / Incidence and risk factors of delayed postpolypectomy bleeding: a retrospective cohort study / J Clin Gastroenterol 48 : 784 ~ 789
Douketis JD / 2012 / Perioperative management of antithrombotic therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians ev
Gandhi S / 2013 / Meta-analysis:colonoscopic post-polypectomy bleeding in patients on continued clopidogrel therapy / Aliment Pharmacol Ther 37 : 947 ~ 952
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