Evidence map›Paper›PMID 28779355›Full record

SynthesisInternational journal of colorectal disease2017

Risk factors for delayed colonic post-polypectomy bleeding: a systematic review and meta-analysis.

Veeravich Jaruvongvanich, Narut Prasitlumkum, Buravej Assavapongpaiboon, Sakolwan Suchartlikitwong, Anawin Sanguankeo, Sikarin Upala

3 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05029934 naterminatednot on this mapstarted 2021, after this paper: background citation

Efficacy of EndoClot™ Spraying After Endoscopic Resection of Large Colorectal Polyps: A Randomized Trial.

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2021 to 2023Enrolled96ConditionsWound Endoscopical, Colon, After Polyp Resection, ColonArmsuse of EndoClot
NCT06220149 unknown statusnot on this mapstarted 2024, after this paper: background citation

FIT for Post poLypectomy bLeeding Prediction

TypeobservationalSponsorCarol Davila University of Medicine and PharmacyRan2024 to 2025Enrolled200ConditionsPolyp Colorectal, BleedingArmsFIT (fecal immunochemical test)
NCT07445178 completednot on this mapstarted 2025, after this paper: background citation

Piecemeal Resection and Advanced Histology Independently Predict Local Recurrence After Colorectal Snare-based Endoscopic Resection: a Time-to-event Cohort Study

TypeobservationalSponsorUniversity of Sao PauloRan2025 to 2026Enrolled255ConditionsColo-rectal Cancer
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  10. Underwater endoscopic mucosal resection for sessile colorectal polyps: A promising endoscopic treatment method.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Veeravich JaruvongvanichDepartment of Internal Medicine, University of Hawaii, Honolulu, HI, USA.
Narut PrasitlumkumDepartment of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Buravej AssavapongpaiboonDepartment of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Sakolwan SuchartlikitwongDepartment of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Anawin SanguankeoDepartment of Internal Medicine, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, NY, 13326, USA.
Sikarin UpalaDepartment of Internal Medicine, Bassett Medical Center and Columbia University College of Physicians and Surgeons, Cooperstown, NY, 13326, USA. sikarin.upala@bassett.org.
King Chulalongkorn Memorial Hospital · THBassett Medical Center · USColumbia University · USTexas Tech University · USUniversity of Hawaii System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDelayed post-polypectomy bleeding (PPB) is an infrequent but serious adverse event after colonoscopic polypectomy. Several studies have tried to identify risk factors for delayed PPB, with inconsistent results. This meta-analysis aims to identify significant risk factors for delayed PPB.

methodsMEDLINE and EMBASE databases were searched through January 2016 for studies that investigated the risk factors for delayed PPB. Pooled odds ratio (OR) for categorical variables and mean differences (MD) for continuous variables and 95% confidence interval (CI) were calculated using a random-effect model, generic inverse variance method. The between-study heterogeneity of effect size was quantified using the Q statistic and I

resultsTwelve articles involving 14,313 patients were included. The pooled delayed PPB rate was 1.5% (95%CI, 0.7-3.4%), I

conclusionsCardiovascular disease, hypertension, polyp size, and polyp location were associated with delayed PPB. More caution is needed when removing polyps in patients with these risk factors. Future studies are warranted to determine appropriate preventive hemostatic measures in these patients.

Indexed as

Cardiovascular DiseasesCecumColon, AscendingColonic PolypsHumansPostoperative HemorrhageRisk FactorsTime FactorsBleedingColonoscopyMeta-analysisPolypectomyRisk factors

Identifiers

PMID28779355
OpenAlexW2744666711

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.