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Is it reasonable to perform polypectomy without interruption of anticoagulation?
May 08, 2009Currently, patients taking anticoagulants to prevent stroke and blood clots are often recommended to stop these medications in order to perform colonoscopy with removal of polyps.
However, interruption of these medications can place patients at risk of stroke and blood clots. A group led by Shai Friedland at the VA Palo Alto hospital in California reported their experience removing small colon polyps without interrupting anticoagulation. Their study will be published on April 28, 2009 in the World Journal of Gastroenterology
Two hundred and twenty five polypectomies were performed in 123 patients. Patients followed a standardized protocol that included stopping warfarin for 36 h to avoid supratherapeutic anticoagulation from the bowel preparation. Patients with lesions larger than 1 cm were generally rescheduled for polypectomy off warfarin. Endoscopic clips were routinely applied prophylactically.
They reported that one patient (0.8%, 95% CI: 0.1%-4.5%) developed major post-polypectomy bleeding that required transfusion. Two others (1.6%, 95% CI: 0.5%-5.7%) had self-limited hematochezia at home and did not seek medical attention. The average polyp size was 5.1 ± 2.2 mm. They announced that polypectomy can be performed in therapeutically anticoagulated patients with lesions up to 1 cm in size with an acceptable bleeding rate.
World Journal of Gastroenterology
They reported that one patient (0.8%, 95% CI: 0.1%-4.5%) developed major post-polypectomy bleeding that required transfusion. Two others (1.6%, 95% CI: 0.5%-5.7%) had self-limited hematochezia at home and did not seek medical attention. The average polyp size was 5.1 ± 2.2 mm. They announced that polypectomy can be performed in therapeutically anticoagulated patients with lesions up to 1 cm in size with an acceptable bleeding rate.
World Journal of Gastroenterology
Polypectomy Current Events and Polypectomy News RSSStudy shows unsedated colonoscopy for colorectal cancer screening well accepted by patients
Researchers from Taiwan report in a new study that unsedated colonoscopy for primary colorectal cancer screening is well accepted in a majority of patients.
Surgical Removal of Small Colon Polyps is Costly and Unnecessary
Polypectomy (the surgical removal of polyps by colonoscopy) of small polyps found during CT colonography is costly and unnecessary according to a study performed at the University of Wisconsin School of Medicine and Public Health in Madison, WI.
How to diagnose and treat Gardner syndrome with gastric polyposis
Gardner syndrome (GS) is a rare, autosomal, dominant inherited disorder with a high degree of penetrance characterized by the triad: intestinal polyposis and various bone and soft-tissue tumors. It is regarded as a clinical subgroup of familial adenomatous polyposis (FAP).
New guidelines update recommendations on colorectal cancer screening
A new guideline on colorectal cancer screening released today by an expert group representing a broad spectrum of health care organizations, including the American College of Gastroenterology (ACG), the American Society for Gastrointestinal Endoscopy (ASGE) and the American Cancer Society (ACS), offers recommendations for various alternatives for colorectal cancer detection and states a strong preference for screening tests that can prevent colorectal cancer.
First colonoscopy with removal of polyps linked to reduction in colon cancer death
Using a model to predict reductions in death from colorectal cancer, epidemiologists and clinical researchers from Memorial Sloan-Kettering looked at the relative effect of an initial screening colonoscopy which clears pre-cancerous polyps from the colon versus surveillance follow-up colonoscopy.
Endoscopic resection is a safe and effective treatment for gastrointestinal smooth muscle tumors
Gastrointestinal smooth muscle tumors (SMTs, including leiomyoma and leiomyosarcoma) represent relatively common lesions that are thought to originate from a muscular layer of the gastrointestinal tract.
AGA Institute statement on CT colonography study
Colorectal cancer is the second-leading cause of cancer deaths, affecting both men and women nearly equally and is one of the most preventable cancers. The American Gastroenterological Association (AGA) Institute supports clinically proven technologies that increase the number of patients screened for colon cancer.
Gastroenterology sets standards for CT colonography
Recognizing that CT colonography will play a role in screening for colorectal cancer (CRC), and the critical need to increase overall CRC screening rates, the American Gastroenterological Association (AGA) Institute issued minimum standards for gastroenterologist performance of the test.
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Colonoscopy after polypectomy: too much surveillance; Primary care survey points to overuse.(News): An article from: Internal Medicine News by Bruce Jancin (Author) This digital document is an article from Internal Medicine News, published by Thomson Gale on December 1, 2005. The length of the article is 567 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Colonoscopy after polypectomy: too much surveillance; Primary care survey points to overuse.(News) Author: Bruce Jancin Publication: Internal Medicine News (Magazine/Journal) Date: December 1, 2005 Publisher: Thomson Gale Volume: 38 Issue: 23 Page: 1(2) Distributed by Thomson... | |
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Video Endoscopy: Colonoscopy and Polypectomy [VHS] Starring: John P. Christie | |
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Surveillance Colonoscopy After Polypectomy.(Brief Article): An article from: Family Practice News by Bruce Jancin (Author) This digital document is an article from Family Practice News, published by International Medical News Group on March 1, 2001. The length of the article is 460 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Surveillance Colonoscopy After Polypectomy.(Brief Article) Author: Bruce Jancin Publication: Family Practice News (Magazine/Journal) Date: March 1, 2001 Publisher: International Medical News Group Volume: 31 Issue: 5 Page: 17 Article Type: Brief Article Distributed by Thomson... | |
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Postpolypectomy surveillance intervals may be narrowed.(Digestive Disorders): An article from: Family Practice News by Denise Napoli (Author) This digital document is an article from Family Practice News, published by Thomson Gale on July 15, 2007. The length of the article is 577 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser. Citation Details Title: Postpolypectomy surveillance intervals may be narrowed.(Digestive Disorders) Author: Denise Napoli Publication: Family Practice News (Magazine/Journal) Date: July 15, 2007 Publisher: Thomson Gale Volume: 37 Issue: 14 Page: 33(1) Distributed by Thomson... |
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