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- Title
Child-Pugh Score Is an Independent Risk Factor for Immediate Bleeding after Colonoscopic Polypectomy in Liver Cirrhosis.
- Authors
Sangheun Lee; Soo Jung Park; Jae Hee Cheon; Tae Il Kim; Won Ho Kim; Dae Ryong Kang; Sung Pil Hong
- Abstract
Purpose: Post-polypectomy bleeding is the most common colonoscopic polypectomy complication. However, the risk of post-polypectomy bleeding in liver cirrhosis is unknown. We aimed to evaluate the risk of post-polypectomy bleeding in patients with liver cirrhosis. Materials and Methods: We included 89 patients with liver cirrhosis who received colonoscopic polypectomy between January 2006 and October 2012. Three hundred forty-eight subjects without liver disease who underwent colonoscopic polypectomy comprised the control group. Risks of post-polypectomy bleeding were analyzed according to patient- and polyp-related factors. Results: Among 89 patients, 75 (84.3%) were Child-Pugh class A, 10 (11.2%) were class B, and 4 (4.5%) were class C. Incidence of immediate postpolypectomy bleeding was significantly increased in cirrhosis with Child-Pugh class B or C compared to liver cirrhosis with Child-Pugh class A or control group [hazard ratio (HR) 3.5; p<0.001]. Polyp size (HR 3.6; p=0.032) and pedunculated polyps (HR 2.4; p=0.022) were also significant risk factors for immediate postpolypectomy bleeding in multivariate analysis. Conclusion: Cirrhotic patients with Child-Pugh class B or C have a high risk of immediate post-polypectomy bleeding. Thus, endoscopists should be cautious about performing colonoscopic polypectomy in patients with Child-Pugh class B or C.
- Subjects
HEMORRHAGE risk factors; COLONOSCOPY; CIRRHOSIS of the liver; CONTROL groups; LIVER diseases; MULTIVARIATE analysis; PATIENTS
- Publication
Yonsei Medical Journal, 2014, Vol 55, Issue 5, p1281
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2014.55.5.1281