Endoscopy 2020; 52(S 01): S289
DOI: 10.1055/s-0040-1704915
ESGE Days 2020 ePoster presentations
Colon and rectum 09:00–17:00 Thursday, April 23, 2020 ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

PREVENTION OF DELAYED BLEEDING AFTER ENDOSCOPIC PAPILLECTOMY: A RETROSPECTIVE STUDY

E Iwasaki
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
S Fukuhara
2   Keio University School of Medicine, Center for Diagnostic and Therapeutic Endoscopy, Tokyo, Japan
,
K Minami
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
S Kawasaki
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
H Tamagawa
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
Y Takimoto
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
Y Machida
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
M Noda
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
A Kayashima
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
,
M Kitago
3   Keio University School of Medicine, Department of Surgery, Tokyo, Japan
,
H Ogata
2   Keio University School of Medicine, Center for Diagnostic and Therapeutic Endoscopy, Tokyo, Japan
,
T Kanai
1   Keio University School of Medicine, Division of Gastroenterology and Hepatology Department of Internal Medicine, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Background and Aim Endoscopic papillectomy is a minimally invasive therapy for duodenal ampullary adenoma. We evaluated clip closure method for the prevention of delayed bleeding retrospectively.

Methods 53 Patients with ampullary adenoma who underwent endoscopic papillectomy were enrolled from 2012 to 2019. The incidence of adverse events and risk factors for delayed bleeding were evaluated using univariate analyses.

Results Delayed bleeding occurred in 7 patients. Sufficient closure using clips was a significant factor for the prevention of post-EP delayed bleeding (p=0.010).

Conclusions Ulcer closure after endoscopic papillectomy using clips should be used for the prevention of delayed bleeding.