Post-polypectomy coagulation syndrome: a tricky to diagnose hot snare problem that can be eliminated thanks to cold snare revolution.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Archive of clinical cases Pub Date : 2022-01-01 DOI:10.22551/2022.37.0904.10226
Maria Zachou, Konstantinos Pikramenos, Georgios Mpetsios, Efthimia Lalla, Maria Panoutsakou, Konstantinos Varytimiadis, Panayiotis Karantanos
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Abstract

Post-polypectomy syndrome or post-polypectomy coagulation syndrome (PPCS) is a rare adverse event of thermal injury caused during hot snare aided, endoscopic mucosal resection of colon polyps. Its diagnosis is tricky as it is commonly misdiagnosed as perforation leading to unnecessary exploratory abdominal surgeries. The authors aim to present an early diagnosed and successfully treated, case of PPCS, and to highlight the difference in the safety profile of two techniques; hot snare versus cold snare polypectomy.

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息肉切除术后凝血综合征:一个棘手的诊断热陷阱问题,可以消除由于冷陷阱革命。
息肉切除术后综合征或息肉切除术后凝血综合征(PPCS)是在内镜下热圈套辅助结肠息肉粘膜切除术中引起的一种罕见的热损伤不良事件。它的诊断很棘手,因为它通常被误诊为穿孔,导致不必要的探查性腹部手术。作者旨在介绍一个早期诊断和成功治疗的PPCS病例,并强调两种技术在安全性方面的差异;热陷阱与冷陷阱息肉切除术。
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