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北京京煤集团总医院 第十一届·2023 学术年会论文集
In conclusion, colon colorectal polypectomy is an effective method for the prevention and treatment
of colorectal cancer. However, regardless of how experienced the endoscopists are, there is always
a risk of delayed postoperative bleeding. There are many risk factors for DPPB, so endoscopists
should fully consider and implement effective intervention measures. Considerable attention should
be devoted to patients with the following risk factors: male sex, history of hypertension, history of
antithrombotic drugs and aspirin before surgery, number of removed polyps≥3, polyp size≥10 mm,
and pedunculated polyps. During the operation, precise hemostasis should be performed, and drug
therapy and active and rigorous follow-up should be used after surgery to form a multilink precise
preventive intervention system. As it is difficult to eliminate the influence of the confounding factors
examined herein, the conclusions of this study need to be further confirmed by large-scale
prospective clinical randomized controlled studies with high quality and unified standards.
List of abbreviations
DPPB: delayed postpolypectomy bleeding; RR: relative risk; CI: confidence interval; HSP: hot
snare polypectomy; CSP: cold snare polypectomy; EMR: endoscopic mucosal resection; ESD:
endoscopic submucosal dissection; HB: hot biopsy; APC: argon plasma coagulation.
Declarations
Ethics approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding
author on reasonable request
Competing Interests
The authors declare that they have no competing interest.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial,
or not-for-profit sectors.
Author contributions
Xuzhen Zhang: Conceptualization, Methodology, Software, Data Curation, Writing - Original
Draft, Writing - Review & Editing, Visualization, Project administration; Xiaoxing Jiang:
Conceptualization, Writing - Original Draft, Writing - Review & Editing, Visualization, Project
administration; Liang Shi: Conceptualization, Methodology, Investigation, Resources, Data
Curation, Writing - Original Draft, Writing - Review & Editing, Project administration.
Acknowledgements
We would like to thank the researchers and study participants for their contributions.
References
1. Xirasagar S, Wu Y, Tsai MH, Zhang J, Chiodini S, de Groen PC: Colorectal cancer prevention by
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