Evidence map›Paper›PMID 42582674›Full record

ArticleDEN open2027

Risk of Delayed Post-polypectomy Bleeding in Patients With Antithrombotic Therapy.

Rumiko Tsuboi, Satohiro Matsumoto, Makiko Mieno, Shizukiyo Ishikawa, Yurika Imai, Mina Morino, Keita Matsumoto, Yudai Koito, Hitomi Kashima, Takaya Miura and 9 more

Abstract read
In one paragraph

Article in DEN open, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Rumiko TsuboiDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Satohiro MatsumotoDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Makiko MienoCenter For Information Jichi Medical University Tochigi Japan.
Shizukiyo IshikawaCenter For Information Jichi Medical University Tochigi Japan.
Yurika ImaiDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Mina MorinoDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Keita MatsumotoDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Yudai KoitoDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Hitomi KashimaDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Takaya MiuraDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Yuko TakahashiDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Takehiro IshiiDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Shuhei YoshikawaDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Haruka OtakeDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Masanari SekineDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Takeshi UeharaDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Takeharu AsanoDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Hiroyuki MiyataniDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.
Hirosato MashimaDepartment of Gastroenterology Jichi Medical University Saitama Medical Center Saitama Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Recent changes in the perioperative management of antithrombotic therapy (ATT), including the discontinuation of routine heparin bridging and the increased use of cold snare polypectomy, may reduce delayed post-polypectomy bleeding (DPPB) rates. However, few recent studies have evaluated these changes. We compared DPPB rates between patients with and without ATT and explored factors associated with bleeding. Methods: We conducted a retrospective cohort study of adult patients who underwent endoscopic resection of colorectal polyps ≤15 mm between April 2021 and October 2023. DPPB was defined as hematochezia or a hemoglobin drop ≥2.0 g/dL requiring endoscopic hemostasis. Univariable analyses were performed to identify factors associated with DPPB, and exploratory multivariable analyses were conducted. Results: Among 2136 patients with 7025 polyps, 523 patients (1874 polyps) were receiving ATT. The DPPB rates per patient (1.91% vs. 0.25%) and per lesion (0.69% vs. 0.08%) were significantly higher in the ATT group ( Conclusions: Colorectal polypectomy in patients receiving ATT is associated with an increased risk of DPPB. Particular caution is warranted in patients receiving warfarin. Trial Registration: N/A.

Indexed as

antithrombotic agentcolonic polypdelayed hemorrhagepolypectomyrisk factors

Identifiers

PMID42582674
PMCPMC13458465

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Registered trials

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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.