Kapetanos Dimitris, Beltsis Athanasios, Chatzimavroudis Grigoris, Katsinelos Panagiotis
Department of Gastroenterology, Papanikolaou Hospital, Thessaloniki, Greece.
Surg Laparosc Endosc Percutan Tech. 2012 Apr;22(2):102-7. doi: 10.1097/SLE.0b013e318247c02e.
Endoscopic polypectomy is at the forefront of colorectal cancer (CRC) prevention. However, endoscopic polypectomy is not completely free of complications, with bleeding being one of the most common complications encountered. In view of the ongoing campaign to introduce colorectal cancer screening to the population, addressing the issue of colonoscopic complications, and postpolypectomy bleeding (PPB) in particular is becoming more important. Despite the fact that the overall incidence of PPB is low, predisposing factors need to be elucidated to further decrease the frequency of this complication. Furthermore, the role of various techniques of PPB prophylaxis remains controversial. We review recent studies on the incidence, risk factors, prophylaxis, and management of PPB.
内镜下息肉切除术处于结直肠癌（CRC）预防的前沿。然而，内镜下息肉切除术并非完全没有并发症，出血是最常见的并发症之一。鉴于正在开展的向人群推广结直肠癌筛查的活动，解决结肠镜检查并发症问题，尤其是息肉切除术后出血（PPB）变得越发重要。尽管PPB的总体发生率较低，但仍需阐明诱发因素以进一步降低该并发症的发生频率。此外，各种PPB预防技术的作用仍存在争议。我们回顾了近期关于PPB的发生率、危险因素、预防及管理的研究。
