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Mark A. Gromski 2 Articles
Endoscopic Management of Post-Polypectomy Bleeding
Aditya Gutta, Mark A. Gromski
Clin Endosc 2020;53(3):302-310.   Published online September 17, 2019
DOI: https://doi.org/10.5946/ce.2019.062
AbstractAbstract PDFPubReaderePub
Post-polypectomy bleeding (PPB) is one of the most common complications of endoscopic polypectomy. There are multiple risk factors related to patient and polyp characteristics that should be considered. In most cases, immediate PPB can be effectively managed endoscopically when recognized and managed promptly. Delayed PPB can manifest in a myriad of ways. In severe delayed PPB, resuscitation for hemodynamic stabilization should be prioritized, followed by endoscopic evaluation and therapy once the patient is stabilized. Future areas of research in PPB include the risks of direct oral anticoagulants and of specific electrosurgical settings for hot-snare polypectomy vs. cold-snare polypectomy, benefits of closure of post-polypectomy mucosal defects using through-the-scope clips, and prospective comparative evaluation of newer hemostasis agents such as hemostatic spray powder and over-the-scope clips.

Citations

Citations to this article as recorded by  
  • Bleeding Risk During Colorectal Endoscopic Mucosal Resection With Continued Anticoagulant Therapy: A Multicenter Study
    Sayo Kobayashi, Keita Harada, Toru Nawa, Tomoo Fujisawa, Toru Ueki, Junichiro Nasu, Yuki Morito, Tatsuya Toyokawa, Tomoki Inaba, Masahide Kita, Ryuta Takenaka, Masafumi Inoue, Reiji Higashi, Takao Tsuduki, Minoru Matsubara, Yasushi Yamasaki, Hiroyuki Okad
    Cureus.2025;[Epub]     CrossRef
  • Updates on the Prevention and Management of Post-Polypectomy Bleeding in the Colon
    Hisham Wehbe, Aditya Gutta, Mark A. Gromski
    Gastrointestinal Endoscopy Clinics of North America.2024; 34(2): 363.     CrossRef
  • Colonoscopic polypectomy of juvenile polyps in children: Experience from a tertiary centre of Bangladesh
    Salahuddin Mahmud, Mashud Parvez, Madhabi Baidya, Farhana Tasneem, Ahmed Rashidul Hasan, Tanzila Farhana, Md Jahangir Alam, Syed Shafi Ahmed
    Gastroenterology & Endoscopy.2024; 2(1): 1.     CrossRef
  • Review article: Advances in the management of lower gastrointestinal bleeding
    Ali A. Alali, Majid A. Almadi, Alan N. Barkun
    Alimentary Pharmacology & Therapeutics.2024; 59(5): 632.     CrossRef
  • Endoscopic management of intraprocedural bleeding during endoscopic interventions
    Ali A. Alali, Asma A. Alkandari
    Best Practice & Research Clinical Gastroenterology.2024; 69: 101912.     CrossRef
  • Effect of Cold Versus Hot Snare Polypectomy on Colon Postpolypectomy Bleeding in Patients with End-Stage Renal Disease: A Retrospective Cohort Study
    Hsueh-Chien Chiang, Chien-Ming Chiang, Xi-Zhang Lin, Po-Jun Chen
    Digestive Diseases and Sciences.2024; 69(7): 2381.     CrossRef
  • Sigmoid perforation after endoscopic clip placement in an infant: A case report
    Lucia Fein, Gabriela Carro, Bernardo Berazategui
    Journal of Pediatric Surgery Case Reports.2024; 110: 102892.     CrossRef
  • Outpatient endoscopic polypectomy
    S. N. Skridlevskiy, A. A. Likutov, L. V. Nazarov, E. A. Bogdanova, I. S. Bogormistrov
    Koloproktologia.2024; 23(4): 17.     CrossRef
  • Prediction of immediate bleeding after cold snare polypectomy: A prospective observational study
    Shin Ju Oh, Yunho Jung, Young Hwangbo, Young Sin Cho, Il Kwun Chung, Chang Kyun Lee
    Medicine.2024; 103(36): e39597.     CrossRef
  • Colonic polypectomy in 2024: hot or cold?
    K Ferdinande, L Desomer, D De Looze, D.J. Tate
    Acta Gastro Enterologica Belgica.2024; 87(4): 505.     CrossRef
  • Isolated ischaemic appendicitis as a rare complication of selective angioembolization for lower gastrointestinal bleed
    Luke S. Crawford, Nadim S. Jafri, Dingle Foote, Melissa M. Felinski, Peter A. Walker, Kulvinder S. Bajwa, Shinil K. Shah
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  • JAG consensus statements for training and certification in colonoscopy
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  • JAG consensus statements for training and certification in flexible sigmoidoscopy
    Keith Siau, Stavroula Pelitari, Susi Green, Brian McKaig, Arun Rajendran, Mark Feeney, Mo Thoufeeq, John Anderson, Vathsan Ravindran, Paul Hagan, Neil Cripps, Ian L P Beales, Karen Church, Nicholas I Church, Elizabeth Ratcliffe, Said Din, Rupert D Pullan,
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  • Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline
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    Seung Hong, Dong Baek
    Diagnostics.2023; 13(7): 1262.     CrossRef
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    Violeta Hristova Janik
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  • Endoscopic management of delayed bleeding after polypectomy of small colorectal polyps: two or more clips may be safe
    Xue-Feng Guo, Xiang-An Yu, Jian-Cong Hu, De-Zheng Lin, Jia-Xin Deng, Ming-Li Su, Juan Li, Wei Liu, Jia-Wei Zhang, Qing-Hua Zhong
    Gastroenterology Report.2022;[Epub]     CrossRef
  • Clinical progress note: Diagnostic approach to lower gastrointestinal bleeding
    Daniel J. Stein, Hyder Said, Joseph D. Feuerstein
    Journal of Hospital Medicine.2022; 17(7): 547.     CrossRef
  • Safety of Cold Snare Polypectomy for Small Colorectal Polyps in Patients Receiving Antithrombotic Therapy
    Dai Nakamatsu, Tsutomu Nishida, Yoshifumi Fujii, Sho Yamaoka, Naoto Osugi, Aya Sugimoto, Kaori Mukai, Kengo Matsumoto, Masashi Yamamoto, Shiro Hayashi, Sachiko Nakajima
    Techniques and Innovations in Gastrointestinal Endoscopy.2022; 24(3): 246.     CrossRef
  • Postcolonoscopy Complications
    Jetsen A. Rodriguez-Silva, Justin A. Maykel
    Diseases of the Colon & Rectum.2022; 65(5): 622.     CrossRef
  • Expanding rather than closing the wound can rescue the endoscopic procedure when massive bleeding occurs during endoscopic submucosal dissection
    Ming-Ching Yuan, Ching-Tai Lee, Kun-Feng Tsai, Chao-Wen Hsu, Chu-Kuang Chou
    Endoscopy.2022; 54(S 02): E1036.     CrossRef
  • Korean Guidelines for Postpolypectomy Colonoscopic Surveillance: 2022 Revised Edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    The Korean Journal of Gastroenterology.2022; 80(3): 115.     CrossRef
  • Korean guidelines for postpolypectomy colonoscopic surveillance: 2022 revised edition
    Su Young Kim, Min Seob Kwak, Soon Man Yoon, Yunho Jung, Jong Wook Kim, Sun-Jin Boo, Eun Hye Oh, Seong Ran Jeon, Seung-Joo Nam, Seon-Young Park, Soo-Kyung Park, Jaeyoung Chun, Dong Hoon Baek, Mi-Young Choi, Suyeon Park, Jeong-Sik Byeon, Hyung Kil Kim, Joo
    Clinical Endoscopy.2022; 55(6): 703.     CrossRef
  • Can prophylactic argon plasma coagulation reduce delayed post‐papillectomy bleeding? A prospective multicenter trial
    Jae Kook Yang, Jong Jin Hyun, Tae Hoon Lee, Jun‐Ho Choi, Yun Nah Lee, Jung Wan Choe, Jin‐Seok Park, Chang‐Il Kwon, Seok Jeong, Hong Ja Kim, Jong Ho Moon, Sang‐Heum Park
    Journal of Gastroenterology and Hepatology.2021; 36(2): 467.     CrossRef
  • Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
    Konstantinos Triantafyllou, Paraskevas Gkolfakis, Ian M. Gralnek, Kathryn Oakland, Gianpiero Manes, Franco Radaelli, Halim Awadie, Marine Camus Duboc, Dimitrios Christodoulou, Evgeny Fedorov, Richard J. Guy, Marcus Hollenbach, Mostafa Ibrahim, Ziv Neeman,
    Endoscopy.2021; 53(08): 850.     CrossRef
  • Estimation and influence of blood loss under endoscope for percutaneous endoscopic lumbar discectomy (PELD): a clinical observational study combined with in vitro experiment
    Dong Dong Sun, Dan Lv, Wei Zhou Wu, He Fei Ren, Bu He Bao, Qun Liu, Ming Lin Sun
    Journal of Orthopaedic Surgery and Research.2020;[Epub]     CrossRef
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  • 23 Web of Science
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Prospective Assessment of the Performance of a New Fine Needle Biopsy Device for EUS-Guided Sampling of Solid Lesions
Ihab I. El Hajj, Howard Wu, Sarah Reuss, Melissa Randolph, Akeem Harris, Mark A. Gromski, Mohammad Al-Haddad
Clin Endosc 2018;51(6):576-583.   Published online July 13, 2018
DOI: https://doi.org/10.5946/ce.2018.053
AbstractAbstract PDFPubReaderePub
Background
/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) remains the most common EUS-guided tissue acquisition technique. This study aimed to evaluate the performance of a new Franseen tip fine needle biopsy (FNB) device for EUSguided sampling of solid lesions and compare it with the historical FNA technique.
Methods
Acquire® 22 G FNB needle (Boston Scientific Co., Natick, MA, USA) was used for solid tumor sampling (Study group). Tissue was collected for rapid on-site evaluation, and touch and crush preparations were made. Historical EUS-FNA samples obtained using Expect® 22 G FNA needle (Boston Scientific Co.) were used as controls (Control group). All specimens were independently evaluated by two cytopathologists blinded to the formal cytopathological diagnosis.
Results
Mean cell block histology scores were significantly higher (p=0.046) in the FNB group (51 samples) despite a significantly lower (p<0.001) mean number of passes compared to the FNA group (50 specimens). The overall diagnostic yields for the FNB vs. FNA groups were 96% vs. 88%. The degree of tumor differentiation was adequately assessed in all cell block qualifying lesions in the FNB group. Two patients developed post-FNB abdominal pain.
Conclusions
The new Franseen tip FNB device provides histologically superior and cytologically comparable specimens to those obtained by FNA, but with fewer passes.

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  • Endoscopic Ultrasound-Guided Liver Biopsies: Is the Future Here Yet?
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    Chang-Il Kwon
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