Su1690 ORBIT SCORE PREDICTS MAJOR BLEEDING AFTER COLORECTAL POLYPECTOMY IN PATIENTS RECEIVING ORAL ANTICOAGULATION THERAPY

Fukunaga, Shusei; Nagami, Yasuaki; Ohira, Mizuki; Sakai, Tetsuhiro; Ominami, Masaki; Maruyama, Hirotsugu; Otani, Koji; Hosomi, Shuhei; Tanaka, Fumio; Taira, Koichi; Kamata, Noriko; Yamagami, Hirokazu; Tanigawa, Tetsuya; Shiba, Masatsugu; Watanabe, Toshio; Fujiwara, Yasuhiro

doi:10.1016/j.gie.2019.03.563

Cited by 3 publications

(3 citation statements)

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“…18 A similar study by Yanagisawa et al 19 showed comparable rates of delayed PPB between warfarin and all DOACs (no patients on edoxaban). Predictive models for PPB in patients receiving warfarin and DOACs, such as the Outcomes Registry for Better Informed Treatment score 20 and a risk-scoring model from China, 21 have been proposed but are yet to be validated for widespread use. There are also studies reporting the risk of PPB with hot-snare (thermal) polypectomy (HSP) and coldsnare (nonthermal) polypectomy (CSP) in the background of APAs, warfarin, and DOACs, which are detailed in the next section.…”

Section: Risk Factorsmentioning

confidence: 99%

Endoscopic Management of Post-Polypectomy Bleeding

Gutta

Gromski

2020

Clin Endosc

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Post-polypectomy bleeding (PPB) is one of the most common complications of endoscopic polypectomy. There are multiple risk factors related to patient and polyp characteristics that should be considered. In most cases, immediate PPB can be effectively managed endoscopically when recognized and managed promptly. Delayed PPB can manifest in a myriad of ways. In severe delayed PPB, resuscitation for hemodynamic stabilization should be prioritized, followed by endoscopic evaluation and therapy once the patient is stabilized. Future areas of research in PPB include the risks of direct oral anticoagulants and of specific electrosurgical settings for hot-snare polypectomy vs. cold-snare polypectomy, benefits of closure of post-polypectomy mucosal defects using through-the-scope clips, and prospective comparative evaluation of newer hemostasis agents such as hemostatic spray powder and over-the-scope clips.Clin Endosc 2020;53:302-310

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Section: Risk Factorsmentioning

confidence: 99%

Endoscopic Management of Post-Polypectomy Bleeding

Gutta

Gromski

2020

Clin Endosc

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“…2019;31 riesgo respectivamente (p 0.149), sin embargo, la HPP mayor fue significativamente superior en el grupo de alto riesgo (13.3 vs 2.4%, p=0.014). Concluyendo que el Score ORBIT es seguro para predecir HPP mayor en pacientes tomando anticoagulantes orales 10 .…”

Section: Hemorragia Pospolipectomíaunclassified

Hemorragia de tracto gastrointestinal bajo: preparación, prevención post-polipectomía, métodos endoscópicos, angiografía?

Cerna-Cardona¹

2019

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La incidencia de hemorragia de tracto gastrointestinal baja (HTGB) es de 33-87%/100,000 habitantes y representa 20-25% de todas las hemorragias gastrointestinales. El primer paso en el abordaje es definir si el paciente cursa con estabilidad hemodinámica (estratificación de riesgo). La mortalidad se asocia a comorbilidades del paciente. La colonoscopia es el estándar de oro para el diagnóstico y tratamiento. En casos seleccionados la embolización selectiva por angiografía debe ser considerada. Hay múltiples terapias endoscópicas con alta efectividad. En la prevención de la hemorragia pospolipectomía, se prefiere el uso de hemoclips en casos seleccionados.

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“…Aquellos pacientes que tenían <2 puntos se consideraban de bajo riesgo, y aquellos que tenían >3 puntos se consideraban de alto riesgo. Ellos concluyeron que el puntaje de ORBIT puede ser útil para predecir el RHPPC principalmente en pacientes que reciben tratamiento con anticoagulación oral 4 .…”

Section: Introductionunclassified

Antiagregantes y anticoagulantes: lo que el endoscopista debe saber

Sánchez-Chávez¹

2019

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Su1690 ORBIT SCORE PREDICTS MAJOR BLEEDING AFTER COLORECTAL POLYPECTOMY IN PATIENTS RECEIVING ORAL ANTICOAGULATION THERAPY

Cited by 3 publications

References 0 publications

Endoscopic Management of Post-Polypectomy Bleeding

Endoscopic Management of Post-Polypectomy Bleeding

Hemorragia de tracto gastrointestinal bajo: preparación, prevención post-polipectomía, métodos endoscópicos, angiografía?

Antiagregantes y anticoagulantes: lo que el endoscopista debe saber

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