Descarga: Recommendations for endoscopy in the patient on chronic anticoagulation: apply with care!
Archivo: guias/varias/PRECAUCIN CON LAS GUIAS.pdf
With the escalating performance of colonoscopy in the United States over the past several years, there has been a consequent increase in the detection and the endoscopic removal of colonic polyps. Because colonic neoplasia is largely an age-related disease, polypectomies are primarily performed in older patients. These patients are more likely to be taking anticoagulant medication for concurrent medical illnesses and are also less likely to tolerate the hemodynamic challenge of a significant postpolypectomy bleed.
Unfortunately, the evidence in the medical literature to characterize the risk of hemorrhagic complications after colonoscopic polypectomy is scanty. In this month’s issue of Gastrointestinal Endoscopy Watabe et al1 are to be commended for their contribution to this field of research.
The investigators described the patient- and polyp-related features associated with postpolypectomy bleeding.
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