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Child-Pugh B or C Cirrhosis Increases the Risk for Bleeding Following Colonoscopic Polypectomy

Authors
 Hosim Soh 1 , Jaeyoung Chun 1 2 , Seung Wook Hong 1 , Seona Park 1 , Yun Bin Lee 1 , Hyun Jung Lee 1 , Eun Ju Cho 1 , Jeong-Hoon Lee 1 , Su Jong Yu 1 , Jong Pil Im 1 , Yoon Jun Kim 1 , Joo Sung Kim 1 , Jung-Hwan Yoon 1 
Citation
 GUT AND LIVER, Vol.14(6) : 755-764, 2020-11 
Journal Title
 GUT AND LIVER 
ISSN
 1976-2283 
Issue Date
2020-11
Keywords
Chronic liver disease ; Colonoscopy ; Hepatitis ; Liver cirrhosis ; Postpolypectomy bleeding ; chronic
Abstract
Background/aims: The risk for colonoscopic postpolypectomy bleeding (PPB) in patients with chronic liver disease (CLD) remains unclear. We determined the incidence and risk factors for colonoscopic PPB in patients with CLD, especially those with liver cirrhosis. Methods: We retrospectively reviewed the medical records of patients with CLD who underwent colonoscopic polypectomy at Seoul National University Hospital between 2011 and 2014. The study endpoints were immediate and delayed PPB. Results: A total of 1,267 consecutive patients with CLD were included in the study. Immediate PPB occurred significantly more often in the Child- Pugh (CP) B or C cirrhosis group (17.5%) than in the CP-A (6.3%) and chronic hepatitis (4.6%) groups (p<0.001). Moreover, the incidence of delayed PPB in the CP-B or C cirrhosis group (4.4%) was significantly higher than that in the CP-A (0.7%) and chronic hepatitis (0.2%) groups (p<0.001). The independent risk factors for immediate PPB were CP-B or C cirrhosis (p=0.011), a platelet count <50,000/μL (p<0.001), 3 or more polyps (p=0.017), endoscopic mucosal resection or submucosal dissection (p<0.001), and polypectomy performed by trainees (p<0.001). The independent risk factors for delayed PPB were CP-B or C cirrhosis (p=0.009), and polyps >10 mm in size (p=0.010). Conclusions: Patients with CP-B or C cirrhosis had an increased risk for bleeding following colonoscopic polypectomy.
Files in This Item:
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DOI
10.5009/gnl19131
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Chun, Jaeyoung(천재영) ORCID logo https://orcid.org/0000-0002-4212-0380
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180710
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