지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 1,281 - 1,288 (8page)
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Purpose: Post-polypectomy bleeding is the most common colonoscopic polypectomycomplication. However, the risk of post-polypectomy bleeding in liver cirrhosisis unknown. We aimed to evaluate the risk of post-polypectomy bleeding in patients with liver cirrhosis. Materials and Methods: We included 89 patients with liver cirrhosis who received colonoscopic polypectomy between January 2006 and October 2012. Three hundred forty-eight subjects without liver disease who underwent colonoscopic polypectomy comprised the control group. Risks of post-polypectomy bleeding were analyzed according to patient- and polyp-related factors. Results: Among 89 patients, 75 (84.3%) were Child-Pugh class A, 10 (11.2%) were class B, and 4 (4.5%) were class C. Incidence of immediate post-polypectomy bleeding was significantly increased in cirrhosis with Child-Pugh class B or C compared to liver cirrhosis with Child-Pugh class A or control group [hazard ratio (HR) 3.5; p<0.001]. Polyp size (HR 3.6; p=0.032) and pedunculated polyps (HR 2.4; p=0.022) were also significant risk factors for immediate post-polypectomy bleeding in multivariate analysis. Conclusion: Cirrhotic patients with Child-Pugh class B or C have a high risk of immediate post-polypectomy bleeding. Thus, endoscopists should be cautious about performing colonoscopic polypectomy in patients with Child-Pugh class B or C.
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참고문헌 (23)
참고문헌 신청
Afdhal N / 2008 / Thrombocytopenia associated with chronic liver disease / J Hepatol 48 : 1000 ~ 1007
Aster RH / 1966 / Pooling of platelets in the spleen: role in the pathogenesis of “hypersple
Atkin WS / 2010 / Once-only flexible sigmoidoscopy screening in prevention of colorectal cancer: a multicentre randomised controlled trial / Lancet 375 : 1624 ~ 1633
Buddingh KT / 2011 / Location in the right hemi-colon is an independent risk factor for delayed post-polypectomy hemorrhage: a multi-center case-control study / Am J Gastroe
Citarda F / 2001 / Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48 : 812 ~ 815
Aster RH / 1966 / Pooling of platelets in the spleen: role in the pathogenesis of “hypersple
Atkin WS / 2010 / Once-only flexible sigmoidoscopy screening in prevention of colorectal cancer: a multicentre randomised controlled trial / Lancet 375 : 1624 ~ 1633
Buddingh KT / 2011 / Location in the right hemi-colon is an independent risk factor for delayed post-polypectomy hemorrhage: a multi-center case-control study / Am J Gastroe
Citarda F / 2001 / Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48 : 812 ~ 815
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