Welcome to Francis Academic Press

Frontiers in Medical Science Research, 2023, 5(9); doi: 10.25236/FMSR.2023.050901.

Effect of Inadequate Bowel Preparation on Urgent Colonoscopy in Patients with Post-Polypectomy Bleeding (PPB): A Descriptive Study

Author(s)

Jian Chen1, Zhihao Kang1, Weiyun Shi2, Zhixin Zhang2

Corresponding Author:
Weiyun Shi
Affiliation(s)

1Xiang Shan Red Cross Taiwan Compatrion Hospital Medical and Health Group, Ningbo, 315000, China

2Department of Gastroenterology, The First Affiliated Hospital of Ningbo University, Ningbo, 315000, China

Abstract

Post-polypectomy bleeding (PPB) is the most common complication of colonoscopy. The purpose of this study was to explore the effect of inadequate bowel preparation on urgent colonoscopy in patients with PPB.In this retrospective, single-centre study, we enrolled PPB patients who underwent urgent colonoscopy at a university-affiliated hospital from 2010 to 2020 and assessed the outcome indicators of interest (diagnostic rate, ileocaecal intubation, repeated colonoscopy, endoscopic therapy, success rate of treatment) and clinical outcomes (surgery, transfusion requirement, length of stay (d), cost ($)).Of the 34 included patients with PPB, 29 were males and 5 were females. The mean age of the patients was 56.7±9.7 years, and 19 patients (55.9%) had chronic diseases; 6 patients in the sample were treated with enema for bowel preparation, and 28 patients were prepared with endoscopic irrigation. In all patients, the source of bleeding was found by endoscopy, endoscopic treatment was provided, and the bleeding was successfully stopped.Our study showed that, for patients with PPB, inadequate bowel preparation might not compromise the effectiveness of urgent colonoscopy, and the hospitalization cost was low.

Keywords

Post-polypectomy bleeding; Urgent colonoscopy; Bowel preparation; Bowel cleanliness

Cite This Paper

Jian Chen, Zhihao Kang, Weiyun Shi, Zhixin Zhang. Effect of Inadequate Bowel Preparation on Urgent Colonoscopy in Patients with Post-Polypectomy Bleeding (PPB): A Descriptive Study. Frontiers in Medical Science Research (2023) Vol. 5, Issue 9: 1-5. https://doi.org/10.25236/FMSR.2023.050901.

References

[1] Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021; 71 (3):209-249.

[2] T M, HJ B, BC M. The evolution of cancer of the colon and rectum. Cancer 1975; 36 (6):2251-2270.

[3] DA L, JL W, JL H, CD M, JR L, GM E, et al. Colonoscopy utilization and outcomes 2000 to 2011. Gastrointestinal endoscopy 2014; 80 (1):133-143.

[4] W H, M D, T R, A M, G S, J H, et al. The Munich Polypectomy Study (MUPS): prospective analysis of complications and risk factors in 4000 colonic snare polypectomies. Endoscopy 2005; 37 (11):1116-1122.

[5] Fatima H, Rex DK. Minimizing Endoscopic Complications: Colonoscopic Polypectomy. Gastrointestinal Endoscopy Clinics of North America 2007; 17 (1):145-156.

[6] BT G, DC R, G P, PR T, S G, MS B, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. The American journal of gastroenterology 2005; 100 (11):2395-2402.

[7] DM J, GA M, R J, TO K. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. The New England journal of medicine 2000; 342 (2):78-82.

[8] M W, T N, M K, Y H, S K, H M, et al. Colonic diverticular bleeding and predictors of the length of hospitalization: An observational study. Journal of gastroenterology and hepatology 2019; 34 (8):1351-1356.

[9] Ferlitsch M, Moss A, Hassan C, Bhandari P, Dumonceau JM, Paspatis G, et al. Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2017; 49 (3):270-297.

[10] DM J. What to choose for diagnosis of bleeding colonic angiomas: colonoscopy, angiography, or helical computed tomography angiography? Gastroenterology 2000; 119 (2):581-584.

[11] Jensen DM. Diverticular bleeding: An appraisal based on stigmata of recent hemorrhage. Techniques in Gastrointestinal Endoscopy 2001; 3 (4):192-198.

[12] Sonnenberg A. Management of delayed postpolypectomy bleeding: a decision analysis. Am J Gastroenterol 2012; 107 (3):339-342.

[13] Li J, Tang J, Chen Y, Zhi FC, Liu SD, He MR. Value of urgent colonoscopy in diagnosis of severe acute lower gastrointestinal bleeding in patients with different bowel cleanliness. Journal of Southern Medical University 2016; 37 (4):522-527.

[14] Hao Z, Gong L, Shen Q, Wang H, Feng S, Wang X, et al. Effectiveness of concomitant use of green tea and polyethylene glycol in bowel preparation for colonoscopy: a randomized controlled study. BMC Gastroenterol 2020; 20 (1):150.

[15] AJ S, PB R, A K, HC T. Comparison of patient and practitioner assessments of pain from commonly performed emergency department procedures. Annals of emergency medicine 1999; 33 (6):652-658.

[16] Nagata N, Niikura R, Sakurai T, Shimbo T, Aoki T, Moriyasu S, et al. Safety and Effectiveness of Early Colonoscopy in Management of Acute Lower Gastrointestinal Bleeding on the Basis of Propensity Score Matching Analysis. Clin Gastroenterol Hepatol 2016; 14 (4):558-564.

[17] Strate LL, Gralnek IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol 2016; 111 (4):459-474.

[18] Kouanda AM, Somsouk M, Sewell JL, Day LW. Urgent colonoscopy in patients with lower GI bleeding: a systematic review and meta-analysis. Gastrointest Endosc 2017; 86 (1):107-117.