Page 73 - 北京京煤集团总医院第十一届·2023学术年会论文集

北京京煤集团总医院 第十一届·2023 学术年会论文集

Polyp morphology 3 0.0 0.727 4.32(2.97-6.30) 0.001
Pedunculated
Polyp Left semicolon 8 68.5 0.002 0.84(0.59-1.20) 0.346
location Right semicolon 8 69.1 0.002 1.14(0.80-1.62) 0.482

Adenomas 7 80.6 0.000 1.70(0.89-3.23) 0.105
Non-adenomas 2 72.3 0.058 0.44(0.08-2.51) 0.356
Pathological
Serrated polyps 3 0.0 0.723 0.71(0.20-2.44) 0.584
type
proliferative 4 72.3 0.013 0.67(0.30-1.49) 0.327
polyps
malignancies 5 0.0 0.933 2.66(1.49-4.75) 0.001

Operational related factors
EMR 6 52.2 0.063 2.34(1.44-3.82) 0.001
The way ESD 2 55.4 0.134 3.62(0.76-17.32) 0.107

polyps HSP 4 89.6 0.000 1.95(0.75-5.04) 0.168
removed HB 4 0.0 0.974 0.28(0.17-0.46) 0.001
APC 2 99.6 0.000 3.60(0.00-52774.53) 0.794
Preventive wound management 2 0.0 0.837 0.95(0.58-1.55) 0.834

inexperienced 3 87.9 0.000 1.55(0.42-5.69) 0.512
Endoscopists
experienced 3 87.9 0.000 0.65(0.18-2.38) 0.514
APC: argon plasma coagulation; EMR: endoscopic mucosal resection; ESD: endoscopic

submucosal dissection; HB: hot biopsy; HSP: hot snare polypectomy.
3.4.5. Multivariate logistic regression effect value meta-analysis
The pooled effects of several risk factors were examined, including male sex (4 studies [3, 6, 18, 22] ),
hypertension (7 studies [13, 15, 16, 18, 19, 21, 22] ), diabetes (3 studies [16, 18, 21] ), anticoagulation(2 studies

[19, 21] ), aspirin (3 studies [13, 18, 21] ), polyp number ≥3 (2 studies [3, 6] ), polyp size (4 studies [13, 15, 21,
23] ), polyp size ≥10 mm (5 studies [3, 6, 16, 18, 22] ), polyp size> 10 mm (2 studies [19, 20] ), pedunculated
polyp (4 studies [3, 19, 21, 22] ), polyp located in right semicolon (5 studies [15, 18, 19, 22, 23] ), resection
mode EMR (4 studies [3, 8, 16, 20] ), and HSP (2 studies [16, 20] ). The results showed male sex (RR=1.41,

95% CI: 0.76-2.05, P < 0.05), hypertension (RR=1.47, 95% CI: 1.18-1.77, P < 0.05), diabetes
(RR=1.17, 95% CI: 0.29-2.06, P < 0.05), anticoagulation (RR=3.56, 95% CI: 0.66-6.46, P < 0.05),
aspirin (RR=1.46, 95% CI: 0.98-1.93, P < 0.05), polyp number ≥ 3 (RR=2.35, 95% CI: 0.88-3.82,
P < 0.05), polyp size (RR=1.17, 95% CI: 1.13-1.22, P < 0.05), polyp size ≥ 10 mm (RR=2.13, 95%

CI: 1.42-2.83, P < 0.05), polyp size > 10 mm (RR=3.65, 95% CI: 2.17-5.14, P < 0.05), pedunculated
polyp (RR=1.73, 95% CI: 0.33-3.12, P < 0.05), and polyp located in the right semicolon (RR=2.23,
95% CI: 1.38-3.08, P < 0.05) (Fig. S31-34,35a,36-41) were associated with an increased risk of

DPPB, while EMR (RR=1.69, 95% CI: -0.01-3.38, P > 0.05) and HSP resection modes (RR=1.63,
95% CI: -0.00-3.27, P=0.05) (Fig. S42-43) were not associated with the risk of DPPB (see Table 3).

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