Endoscopy 2021; 53(S 01): S173
DOI: 10.1055/s-0041-1724724
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Postpolypectomy Syndrome - an Underrated Complication After Endoscopic Polypectomy? Which Risk Factors Lead to a Postpolypectomy Syndrome?

E Leventi
1   Klinikum Hanau, Medical Department II, Hanau, Germany
,
A Genthner
1   Klinikum Hanau, Medical Department II, Hanau, Germany
,
F Straulino
1   Klinikum Hanau, Medical Department II, Hanau, Germany
,
S Kangalli
1   Klinikum Hanau, Medical Department II, Hanau, Germany
,
I Reiffenstein
1   Klinikum Hanau, Medical Department II, Hanau, Germany
,
N Tscherwinski
1   Klinikum Hanau, Medical Department II, Hanau, Germany
,
A Eickhoff
1   Klinikum Hanau, Medical Department II, Hanau, Germany
› Author Affiliations
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Aims The postpolypectomy syndrome is a serious complication after endoscopic polypectomy. We want to analyze the prevalence of a postpolypectomy syndrome and the risk factors associated with the development of postpolypectomy syndromes.

Methods We performed a statistical analysis from 01.01.2018 until 01.01.2020 with the help of the OPS- and ICD-codes as well as with the doctors’ letters and documented the frequency and the possible risk factors like the size of the resected adenomas, the localization in the colon, the resection-type, gender and associated diseases.

Results Starting from 2018 until 2020 we have performed 2,337 screening colonoscopies. In 630 cases (27 %) a polypectomy has been performed. 26 patients (1.1 % of all colonoscopies and 4.1 % of all polypectomies) developed a postpolypectomy syndrome and in 2 cases (0.08 % of all colocoscopies and 0.3 % of all polypectomies) a major perforation was documented. We reviewed the risk factors for the development of a postpolypectomy syndrome. Risk factors were female gender, size > 2.5cm, growth pattern (sessile, flat), localization in the right hemicolon (especially in the cecum) and piece-meal resection.

Conclusions A postpolypectomy syndrome is associated with a patient’s discomfort, a longer hospital stay and with increased costs. Therefore, a prevention of a postpolypectomy syndrome carries great weight. A special caution should be exercised in female patients with large, flat and sessile polyps in the right hemicolon. If other factors like the injected solution or the needle size acts a part in the development of a PPS have to be proven in further studies.

Citation: Leventi E, Genthner A, Straulino F et al. eP228 POSTPOLYPECTOMY SYNDROME - AN UNDERRATED COMPLICATION AFTER ENDOSCOPIC POLYPECTOMY? WHICH RISK FACTORS LEAD TO A POSTPOLYPECTOMY SYNDROME? Endoscopy 2021; 53: S173.



Publication History

Article published online:
19 March 2021

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