Delayed, massive hemorrhage following electrocoagulating biopsy (“hot biopsy”) of a diminutive colonic polyp

Quigley, Eamonn Martin; Donovań, John M.; Linder, James; Thompson, J. S.; Straub, Péter; Paustian, Frederick F.

doi:10.1016/s0016-5107(89)72913-8

Cited by 32 publications

(10 citation statements)

References 10 publications

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“…Complications such as perforations and bleeding have been reported [9, 10, 11, 12]after the use of HBF. At least 1 death has been reported [10].…”

Section: Discussionmentioning

confidence: 99%

“…The technique of electrocoagulation (‘hot’) biopsy for the removal of small polyps and the management of vascular ectasias of the gastrointestinal tract has become popular [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12]. In this technique the insulated monopolar electrocoagulation forceps, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Recently bipolar HBF has been used for the same purpose. Some authors [1, 2, 3, 4, 5, 6]have found this technique to be safe while others [9, 10, 11, 12]have reported complications such as massive bleeding and colonic perforation.…”

Section: Introductionmentioning

confidence: 99%

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The Safety of Hot Biopsy Forceps in the Removal of Small Colonic Polyps

Mann¹,

Mann

Alam

1999

Digestion

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Nine hundred and seven polyps (mean size 3.7 mm; range 2–8) from 460 patients (mean age 67 years; range 34–94) were removed with monopolar electrocoagulation forceps (‘hot biopsy forceps’). Sixty-three percent of the polyps were adenomatous and 36% were hyperplastic. In this series there were 3 cancers and 1 neurofibroma. About 42% of the polyps were in the sigmoid-rectum region; the rest were evenly distributed in the remaining part of the colon. There were no complications. Specifically there were no cases of perforation or massive bleeding after removal of these polyps. Within the guidelines mentioned, hot biopsy removal of small colonic polyps is safe.

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“…Complications such as perforations and bleeding have been reported [9, 10, 11, 12]after the use of HBF. At least 1 death has been reported [10].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Safety of Hot Biopsy Forceps in the Removal of Small Colonic Polyps

Mann¹,

Mann

Alam

1999

Digestion

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“…6 HBF is not recommended by the USMSTF or the American Society for Gastrointestinal Endoscopy for routine polypectomy because of high rates of incomplete resection, inadequate tissue sampling for histology, and high risks of adverse events such as deep thermal injury, delayed bleeding, and perforation. 1,5,6,[53][54][55][56] However, HBF can be used for hot avulsion as an adjunctive measure to remove flat or fibrotic residual polyps. 57,58…”

Section: Biopsy Forcepsmentioning

confidence: 99%

Endoscopic polypectomy devices

et al. 2021

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“…In the tortuosity of the colon, hot biopsy is a particularly convenient way of rapidly targeting and destroying polyps down to 1 or 2 mm in diameter, with nearly guaranteed histology. Unfortunately, there is a tendency to overcoagulate, with resultant deep ulceration and risk of delayed haemorrhage 2-1 2 days later [14], particularly in those taking aspirin [15] and probably in polyps of diameter 5 mm or more. This has led many colonoscopists to revert to conventional electrosurgical snaring [lo], or even to physical 'cold-snaring' [16] of small polyps, although we still prefer the judicious use of hot biopsy for polyps under 5 mm, because of convenience and 99% interpretable histology specimens.…”

Section: Polypectornymentioning

confidence: 99%