Evidence map›Paper›PMID 34992406›Full record

ReviewClinical and experimental gastroenterology2021

Delayed Bleeding After Endoscopic Resection of Colorectal Polyps: Identifying High-Risk Patients.

Oliver Bendall, Joel James, Katarzyna M Pawlak, Sauid Ishaq, J Andy Tau, Noriko Suzuki, Steven Bollipo, Keith Siau

Registry-linked trialAbstract readReview
In one paragraph

Review in Clinical and experimental gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07257926 (Prevention of Delayed Post-polypectomy Bleeding by Endoscopic Sucralfate Spray in High-risk Patients), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

NCT07257926 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Prevention of Delayed Post-polypectomy Bleeding by Endoscopic Sucralfate Spray in High-risk Patients: A Randomized Controlled Trial

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2025 to 2027Enrolled160ConditionsBleeding After GI EndoscopyArmsSucralfate, Clip
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Oliver BendallDepartment of Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Joel JamesDepartment of Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK.
Katarzyna M PawlakEndoscopy Unit, Department of Gastroenterology, Ministry of Interior and Administration, Szczecin, Poland.ORCID 0000-0002-0771-1177
Sauid IshaqDepartment of Gastroenterology, Dudley Group Hospitals NHS Foundation Trust, Dudley, UK.
J Andy TauAustin Gastroenterology, Austin, TX, USA.
Noriko SuzukiWolfson Unit for Endoscopy, St. Mark's Hospital, London, UK.
Steven BollipoSchool of Medicine & Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0001-9511-7380
Keith SiauDepartment of Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK.ORCID 0000-0002-1273-9561

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delayed post-polypectomy bleeding (DPPB) is a potentially severe complication of therapeutic colonoscopy which can result in hospital readmission and re-intervention. Over the last decade, rates of DPPB reported in the literature have fallen from over 2% to 0.3-1.2%, largely due to improvements in resection technique, a shift towards cold snare polypectomy, better training, adherence to guidelines on periprocedural antithrombotic management, and the use of antithrombotics with more favourable bleeding profiles. However, as the complexity of polypectomy undertaken worldwide increases, so does the importance of identifying patients at increased risk of DPPB. Risk factors can be categorised according to patient, polyp and personnel related factors, and their integration together to provide an individualised risk score is an evolving field. Strategies to reduce DPPB include safe practices relevant to all patients undergoing colonoscopy, as well as specific considerations for patients identified to be high risk. This narrative review sets out an evidence-based summary of factors that contribute to the risk of DPPB before discussing pragmatic interventions to mitigate their risk and improve patient safety.

Indexed as

adverse eventcolonoscopycomplicationshaemorrhagepolypectomy

Identifiers

PMID34992406
PMCPMC8714413

What OpenQuestion holds

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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.