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Management of bleeding and perforation after colonoscopy
Konstantina D Paraskeva1, Gregorios A Paspatis
1Department of Gastroenterology, Konstantopoulio General Hospital, Athens, 14233, Greece.
Expert Review of Gastroenterology & Hepatology
|June 3, 2014
Summary
Endoscopic polypectomy can cause bleeding, usually managed endoscopically. Colonic perforation is a serious complication requiring prompt recognition and management, with potential for endoscopic closure in select cases.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Bleeding and colonic perforation are known complications of snare polypectomy.
- While bleeding is often managed endoscopically, perforation requires careful consideration for treatment modality.
Purpose of the Study:
- To review the management of bleeding and colonic perforation following snare polypectomy.
- To highlight the potential for endoscopic management of colonic perforations.
Main Methods:
- Review of complications associated with snare polypectomy.
- Discussion of current endoscopic and surgical management strategies for bleeding and perforation.
Main Results:
- Bleeding post-polypectomy is generally rare and manageable with endoscopic techniques.
- Colonic perforation is a serious complication, but prompt recognition allows for potential endoscopic closure in selected cases.
- Endoscopic closure of perforations can lead to recovery, with surgery reserved for clinical deterioration.
Conclusions:
- Most post-polypectomy bleeding can be managed endoscopically.
- Endoscopic management of colonic perforations is promising but requires further validation through prospective studies and established algorithms.
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