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A case of hemorrhage after endoscopic mucosal resection of a large colonic polyp

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收录情况： ◇ 北大核心

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单位： [1]Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province 430030, China

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关键词： Endoscopic mucosal resection Hemorrhage Large colonic polyps

摘要：

Large colonic polyps (with a diameter larger than 2 cm) are associated with an increased risk of malignancy. Endoscopic resection is the first line treatment; however, there is a risk of bleeding. We reported a 56-year-old man with a large pedunculated polyp (3.0 cm × 3.5 cm) located between the rectum and the sigmoid. After endoscopic mucosal resection, the patient suffered from continuous hemorrhage at the wound site. He was then treated by argon plasma coagulation (APC), bipolar coagulation and hemoclip hemostasis. Unfortunately, all these attempts ended in failure. Finally, an operation was performed and a segment of the colon was removed to save his life. From this case we can learn that we should use endoscopic nylon loop as much as possible when treating large pedunculated polyps. In addition, we should do our best to stop the bleeding at the same time. © 2015 Baishideng Publishing Group Inc. All rights reserved.

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第一作者单位： [1]Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province 430030, China

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