Prophylactic Suturing Closure Is Recommended after Endoscopic Treatment of Colorectal Tumors in Patients with Antiplatelet/Anticoagulant Therapy

Oncology. 2017:93 Suppl 1:27-29. doi: 10.1159/000481226. Epub 2017 Dec 20.

Abstract

The prophylactic closure of mucosal defects after endoscopic resection is known to prevent postoperative bleeding in colorectal lesions. However, closure of large mucosal defects is difficult with conventional clips only, and several closure techniques have been previously described; use of an Endoloop, 8-ring loop, or loop clip and a small incision around the mucosal defect. Given that the prophylactic closure requires much cost and time, the application should be limited to high-risk cases. Medication of antithrombotics or antiplatelet agents would be one of the reasonable indications for prophylactic closure of mucosal defects after endoscopic resection of colorectal tumors.

Keywords: Clip; Endoscopic submucosal dissection; Laterally spreading tumor.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anticoagulants / administration & dosage*
  • Colorectal Neoplasms / blood
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery*
  • Endoscopic Mucosal Resection / adverse effects
  • Endoscopic Mucosal Resection / methods*
  • Humans
  • Intestinal Mucosa / pathology
  • Intestinal Mucosa / surgery*
  • Male
  • Platelet Aggregation Inhibitors / administration & dosage*
  • Postoperative Hemorrhage / etiology
  • Postoperative Hemorrhage / prevention & control*
  • Suture Techniques

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors