ASGE Annual Postgraduate Course: Leveraging New Advances to Improve Patient Outcomes (Live and Virtual) | May 2024-Preventing the post-polypectomy bleed

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Dr. Kevin E. Woods presented on preventing post-polypectomy bleeding, focusing on factors to consider before polypectomy or mucosectomy, complications, and techniques to reduce the risk of bleeding. Post-polypectomy bleeding (PPB) is a common complication, especially with multiple or large polyps, right-sided polyps, and certain procedural techniques like hot snare polypectomy. Prophylactic clipping can be effective for preventing bleeding for specific polyp sizes. Additionally, through-the-scope suturing has shown promising results in closing gastrointestinal defects, with high success rates observed for polypectomy site closures. Risk factors for delayed post-polypectomy bleeding include male sex, hypertension, anticoagulation use, larger polyps, and polyps in the right colon. It is recommended to consider these factors along with procedural techniques to minimize the risk of bleeding complications.

Asset Subtitle

Kevin E. Woods, MD, MPH

Keywords

post-polypectomy bleeding

preventing bleeding

polypectomy complications

prophylactic clipping

through-the-scope suturing

gastrointestinal defects closure

risk factors

delayed bleeding

procedural techniques

minimizing bleeding risk