Risk of Post-polypectomy Bleeding After Colorectal Endoscopic Mucosal Resection in Patients With Cirrhosis: A Propensity-Matched Analysis of the US Collaborative Network
The post-polypectomy bleeding risk was higher in patients with decompensated cirrhosis, while the bleeding risk was not increased in those with compensated disease. Optimizing patients with cirrhosis, especially with decompensated disease, before colorectal EMR and monitoring for post-procedure bleeding remain important. A conservative, supportive approach to managing bleeding in patients with cirrhosis may be as effective as in those without cirrhosis.
Authors
- Shyam Thakkar (ORCID: https://orcid.org/0000-0001-8671-9961)
- Khaled Elfert (ORCID: https://orcid.org/0000-0001-5554-6252)
- Indira Bhavsar‐Burke (ORCID: https://orcid.org/0000-0002-9438-2067)
- Mouhand Mohamed (ORCID: https://orcid.org/0000-0002-4761-8014)
- Azizullah Beran (ORCID: https://orcid.org/0000-0002-4161-942X)
- Daryl Ramai (ORCID: https://orcid.org/0000-0002-2460-7806)
- John Guardiola (ORCID: https://orcid.org/0000-0002-4934-8628)
- Andrew Canakis (ORCID: https://orcid.org/0000-0002-6646-6693)
- Douglas K. Rex (ORCID: https://orcid.org/0000-0002-9836-4309)
- Feenalie N. Patel (ORCID: https://orcid.org/0000-0002-3953-0450)
Institutions
- University of North Carolina at Chapel Hill (US)
- West Virginia University (US)
- Brigham and Women's Hospital (US)
- Mayo Clinic (US)
- University of Michigan (US)
- WinnMed (US)
- Methodist Hospital (US)
- Indiana University School of Medicine
- Indiana University – Purdue University Indianapolis (US)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- The American Journal of Gastroenterology
- Published
- 2025-01-16
- DOI
- https://doi.org/10.14309/ajg.0000000000003322
- Citations
- 7
- Primary Topic
- Gastric Cancer Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 10.63