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我该如何处理息肉切除术后出血？

How do I manage post-polypectomy bleeding?

作者信息

Hong Sung Pil

机构信息

Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2012 Sep;45(3):282-4. doi: 10.5946/ce.2012.45.3.282. Epub 2012 Aug 22.

DOI:10.5946/ce.2012.45.3.282
PMID:22977818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3429752/
Abstract

Colonoscopic polypectomy is an effective method for prevention of colorectal cancer and has become one of the most common procedures worldwide. Most colorectal polyps can be removed safely by various polypectomy techniques; however, serious complications can occur. Postpolypectomy bleeding is the most common complication of colonoscopic polypectomy, accounting for 0.3% to 6.1% of polypectomy. This issue summarizes various endoscopic techniques to treat postpolypectomy bleeding.

摘要

结肠镜息肉切除术是预防结直肠癌的有效方法，已成为全球最常见的手术之一。大多数结直肠息肉可通过各种息肉切除技术安全切除；然而，严重并发症仍可能发生。息肉切除术后出血是结肠镜息肉切除术最常见的并发症，占息肉切除术的0.3%至6.1%。本文总结了治疗息肉切除术后出血的各种内镜技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/bfab82505379/ce-45-282-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/0e9c64c336e9/ce-45-282-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/e80d529efa5b/ce-45-282-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/bfab82505379/ce-45-282-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/0e9c64c336e9/ce-45-282-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/e80d529efa5b/ce-45-282-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa4/3429752/bfab82505379/ce-45-282-g003.jpg

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本文引用的文献

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2
Efficacy, risk factors and complications of endoscopic polypectomy: ten year experience at a single center.内镜下息肉切除术的疗效、危险因素及并发症：单中心十年经验
World J Gastroenterol. 2008 Apr 21;14(15):2364-9. doi: 10.3748/wjg.14.2364.
3
Comparison of postpolypectomy bleeding between epinephrine and saline submucosal injection for large colon polyps by conventional polypectomy: a prospective randomized, multicenter study.
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Clin Endosc. 2025 Mar;58(2):191-200. doi: 10.5946/ce.2024.241. Epub 2024 Nov 27.
4
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Dig Dis Sci. 2024 Jul;69(7):2381-2389. doi: 10.1007/s10620-024-08405-w. Epub 2024 May 9.
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Temporary Hydrogel Dressings for Colon Polypectomies.结肠息肉切除术用临时水凝胶敷料。
ACS Biomater Sci Eng. 2021 Sep 13;7(9):4362-4370. doi: 10.1021/acsbiomaterials.1c00549. Epub 2021 Aug 3.
6
Endoscopic Management of Post-Polypectomy Bleeding.息肉切除术后出血的内镜治疗
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