Angiographic management of bleeding following transcolonoscopic polypectomy

Carlyle, Dennis R.; Goldstein, Harvey M.

doi:10.1007/bf01070763

Cited by 19 publications

(3 citation statements)

References 11 publications

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“…Bleeding from the broad area of a large Sessile polypectomy site or from a stalk that is too short to resnare usually requires either the endoscopic application of topical agents [21], laser, or heater probe. Rarely, it is neces-Sary to employ angiographically directed vasoconstriction [22] or surgical resection [23]. Delayed postpolypectomy bleeding, also rare, may occur within 24 to 48 hours or also as late as 2 weeks when separation of the eschar at the polypectomy site is expected to occur [19,24].…”

Section: Bleeding Polypectomy Sitementioning

confidence: 99%

Therapeutic colonoscopy

Forde

1992

World j. surg.

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Therapeutic colonoscopy has replaced or lessened to a significant degree the need or extent of traditional open surgical procedures. The common uses of therapeutic colonoscopy are hemostasis, resection and ablation of benign and malignant disease, decompression and recanalization of obstructed or dilated bowel, as well as foreign body extraction. Bleeding from arteriovenous and other vascular abnormalities can be controlled with 40% to 80% success rates using endoscopically delivered, monopolar, bipolar, or laser coagulation. The palliation of bleeding recurrent or inoperable colorectal cancer is achieved in up to 90% of patients. Virtually all pedunculated adenomas and most sessile adenomas are regularly removed colonoscopically, while large and recurrent villous adenomas in high risk individuals can be successfully managed by endoscopically delivered laser ablation techniques. Emergency colonoscopic reduction of sigmoid volvulus is performed pre-operatively and decompression of the dilated colon of non-obstructive colonic ileus is now regularly achieved. Colonic strictures have been dilated with a variety of techniques ranging from divulsion with through-the-scope balloon dilators to laser recanalization. Pre-operative endoscopic laser relief of tumor obstruction is employed to avoid preliminary or decompressing colostomy. Endoscopic laser debulking and recanalization of recurrent or inoperable cancer has been achieved with up to 80% success and various foreign bodies may be extracted from the colon with a number of endoscopic techniques. The morbidity of therapeutic colonoscopy has ranged from 1% to 2% for polypectomy to 11% for laser palliation of bleeding from advanced cancer, often with obstruction.

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Section: Bleeding Polypectomy Sitementioning

confidence: 99%

Therapeutic colonoscopy

Forde

1992

World j. surg.

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“…In general, these measures can control such bleeding episodes; however, blood replacement may be required. Some authors report good results with intravenous or selective intraarterial vasoconstrictor infusion [106,107]. Laparotomy has to be indicated if bleeding cannot be controlled.…”

Section: Complications Following Polypectomymentioning

confidence: 99%

“…If bleeding does not stop, mesenteric angiography with selective infusion of vasopressin should be performed. This procedure may make surgery unnecessary [107]; if not, it will help to identify the bleeding site when more than 1 polyp has been excised or when the patient has coexisting diverticular disease. In our series, the 2 patients with important delayed rectal bleeding were readmitted to the hospital and received blood transfusion.…”

Section: Complications Following Polypectomymentioning

confidence: 99%

Complications and hazards of gastrointestinal endoscopy

1989

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The diagnostic and therapeutic contribution of fiberoptic endoscopy to the advancement of the knowledge of gastrointestinal disease and to its proper management is already established. Technical refinements in the new instruments and extensive acceptance of the advantages of the method makes fiberendoscopy a procedure widely used throughout the world. Therefore, the appreciation of its potential risk of complications and hazards is justified. This review summarizes the complications and hazards of fiberoptic gastrointestinal endoscopy gleaned from reports of endoscopic surveys and individual experiences. Causes and means whereby complications related to upper intestinal and colonic endoscopy can be prevented or treated are discussed.

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Colonoscopy in the Prevention, Detection and Treatment of Large Bowel Cancer

Williams¹

1981

Gastrointestinal Cancer 1

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Angiographic management of bleeding following transcolonoscopic polypectomy

Cited by 19 publications

References 11 publications

Therapeutic colonoscopy

Therapeutic colonoscopy

Complications and hazards of gastrointestinal endoscopy

Colonoscopy in the Prevention, Detection and Treatment of Large Bowel Cancer

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