Bleeding After GI Endoscopy
Conditions
Brief summary
The bleeding rate of both EGD (including biopsy) and colonoscopy (including biopsy, cold or hot snare polypectomy, or EMR) in patients who continue to take various antithrombotic drugs is studied prospectively. The immediate or delayed bleeding that requires hemostatic clipping or other endoscopic treatments is defined as the bleeding. Immediate bleeding requiring hemostatic clipping is defined as spurting or oozing which continued for more than 30 seconds. Delayed bleeding is defined as bleeding that requires the endoscopic treatment within 2 weeks after endoscopy. Prophylactic clipping is not performed after taking biopsy and doing polypectomy. Additionally, investigators evaluate the rate of injured submucosal arteries of the excised specimen when the bleeding occurs.
Interventions
PROCEDUREBiopsy, cold or hot snare polypectomy, or EMR
Sponsors
Showa Inan General Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Inclusion criteria is all patients who continue to take antithrombotic drugs and undergo EGD or colonoscopy
Exclusion criteria
* Patients who take prophylactic clipping after biopsy or polypectomy American Society of Anesthesiologists physical status of class IV or V
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the rate of delayed bleeding | 10 years | Delayed bleeding defined as bleeding that required endoscopic treatment within 2 weeks after the procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the rate of immediate bleeding | 10 years | Immediate bleeding defined as spurting or oozing which continued for more than 30 seconds. |
| the number of clip used | 10 years | The number of clip used during the procedures. |
Countries
Japan
Contacts
Primary ContactAkira Horiuchi, MD
Outcome results
None listed