Endoscopic prevention of bleeding during resection of mucous membrane neoplasms of hollow organs of gastrointestinal tract

Natalsky A.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-2387-3440

Filimonov V.B.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-2199-0715

Shadsky S.O.

Pavlov Ryazan State Medical University

ORCID: 0000-0001-7454-3292

Ivanov N.A.

Pavlov Ryazan State Medical University

Pashkin K.P.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-1588-6989

Endoscopic prevention of bleeding during resection of mucous membrane neoplasms of hollow organs of gastrointestinal tract

Authors:

Natalsky A.A., Filimonov V.B., Shadsky S.O., Ivanov N.A., Pashkin K.P.

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Journal: Pirogov Russian Journal of Surgery. 2023;(9): 66‑71

DOI: 10.17116/hirurgia202309166

Downloaded: 15

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To cite this article:

Natalsky AA, Filimonov VB, Shadsky SO, Ivanov NA, Pashkin KP. Endoscopic prevention of bleeding during resection of mucous membrane neoplasms of hollow organs of gastrointestinal tract. Pirogov Russian Journal of Surgery. 2023;(9):66‑71. (In Russ.)
https://doi.org/10.17116/hirurgia202309166

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To optimize endoscopic prevention of bleeding during resection of mucous membrane neoplasms of hollow organs of gastrointestinal tract and minimize the risk of intra- and postoperative complications.

MATERIAL AND METHODS. A S

Ystematic review and meta-analysis were made in accordance with the PRISMA recommendations. Statistical analysis was performed in Cohrane Review Manager ver. 5.4.

RESULTS. THERE ARE 3

Methods of endoscopic prevention of bleeding during polypectomy, i.e. 0.01% adrenaline injection, endoscopic clip placement and endoscopic polyp band ligation. Endoscopic polyp band ligation is characterized by minimum complication rate.

CONCLUSION

Endoscopic polyp band ligation is preferable due to minimum complication rate. If ligation is impossible, prophylactic clip placement may be performed. Adrenaline injection is the least effective method and may be used only if two above-mentioned methods are ineffective.

Keywords:

polypectomy

mucosal resection

bleeding

ligation

clipping

injection

Authors:

Natalsky A.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-2387-3440

Filimonov V.B.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-2199-0715

Shadsky S.O.

Pavlov Ryazan State Medical University

ORCID: 0000-0001-7454-3292

Ivanov N.A.

Pavlov Ryazan State Medical University

Pashkin K.P.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-1588-6989

Received:

26.01.2023

Accepted:

10.02.2023

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