Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids
Abstract This case report describes a fatal outcome due to delayed perforation after cold snare polypectomy in a patient with bullous pemphigoid receiving oral corticosteroids. Cold snare polypectomy has become the standard treatment for small colorectal polyps because of the procedure's safety...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-04-01
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| Series: | DEN Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/deo2.157 |
| _version_ | 1827957615855927296 |
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| author | Hirotoshi Iwano Takayuki Sato Yoshifumi Ishii Suguru Niki Reiji Sawaya Susumu Tamakawa Masataka Yamada |
| author_facet | Hirotoshi Iwano Takayuki Sato Yoshifumi Ishii Suguru Niki Reiji Sawaya Susumu Tamakawa Masataka Yamada |
| author_sort | Hirotoshi Iwano |
| collection | DOAJ |
| description | Abstract This case report describes a fatal outcome due to delayed perforation after cold snare polypectomy in a patient with bullous pemphigoid receiving oral corticosteroids. Cold snare polypectomy has become the standard treatment for small colorectal polyps because of the procedure's safety and simplicity. In this case, however, corticosteroid therapy and vasculitis may have caused local necrosis and tearing of the intestinal wall. Corticosteroids are widely used, and perforation after cold snare polypectomy is extremely rare. However, some patients on corticosteroid therapy may have special pathologies, such as in this case, and we advise physicians to use appropriate judgment and extreme caution in determining the indication for endoscopic therapy. |
| first_indexed | 2024-04-09T15:22:46Z |
| format | Article |
| id | doaj.art-9d539cf96bfe44ec94843e4944dec99b |
| institution | Directory Open Access Journal |
| issn | 2692-4609 |
| language | English |
| last_indexed | 2024-04-09T15:22:46Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj.art-9d539cf96bfe44ec94843e4944dec99b2023-04-29T05:12:58ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.157Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroidsHirotoshi Iwano0Takayuki Sato1Yoshifumi Ishii2Suguru Niki3Reiji Sawaya4Susumu Tamakawa5Masataka Yamada6Department of Gastroenterology and Endoscopy Center Shibetsu City Hospital Hokkaido JapanEndoscopy Center Shibetsu City Hospital Hokkaido JapanDepartment of Gastroenterology and Endoscopy Center Shibetsu City Hospital Hokkaido JapanDepartment of Gastroenterology and Endoscopy Center Shibetsu City Hospital Hokkaido JapanDepartment of Surgery Shibetsu City Hospital Hokkaido JapanDepartment of Pathology Asahikawa Medical Center Hokkaido JapanDepartment of Gastroenterology and Endoscopy Center Shibetsu City Hospital Hokkaido JapanAbstract This case report describes a fatal outcome due to delayed perforation after cold snare polypectomy in a patient with bullous pemphigoid receiving oral corticosteroids. Cold snare polypectomy has become the standard treatment for small colorectal polyps because of the procedure's safety and simplicity. In this case, however, corticosteroid therapy and vasculitis may have caused local necrosis and tearing of the intestinal wall. Corticosteroids are widely used, and perforation after cold snare polypectomy is extremely rare. However, some patients on corticosteroid therapy may have special pathologies, such as in this case, and we advise physicians to use appropriate judgment and extreme caution in determining the indication for endoscopic therapy.https://doi.org/10.1002/deo2.157bullous pemphigoidcold snare polypectomycolorectal polypscorticosteroidperforation |
| spellingShingle | Hirotoshi Iwano Takayuki Sato Yoshifumi Ishii Suguru Niki Reiji Sawaya Susumu Tamakawa Masataka Yamada Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids DEN Open bullous pemphigoid cold snare polypectomy colorectal polyps corticosteroid perforation |
| title | Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids |
| title_full | Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids |
| title_fullStr | Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids |
| title_full_unstemmed | Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids |
| title_short | Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids |
| title_sort | delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids |
| topic | bullous pemphigoid cold snare polypectomy colorectal polyps corticosteroid perforation |
| url | https://doi.org/10.1002/deo2.157 |
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