Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome
Background and aims: Postpolypectomy syndrome (PPS) is a relevant adverse event that can appear after polypectomy. Several publications mention postpolypectomy syndrome using different criteria to define it. The aim of this study is to detect potential risk factors and predictors for developing PPS...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/2/127 |
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| author | Stefano Fusco Michelle E. Bauer Ulrike Schempf Dietmar Stüker Gunnar Blumenstock Nisar P. Malek Christoph R. Werner Dörte Wichmann |
| author_facet | Stefano Fusco Michelle E. Bauer Ulrike Schempf Dietmar Stüker Gunnar Blumenstock Nisar P. Malek Christoph R. Werner Dörte Wichmann |
| author_sort | Stefano Fusco |
| collection | DOAJ |
| description | Background and aims: Postpolypectomy syndrome (PPS) is a relevant adverse event that can appear after polypectomy. Several publications mention postpolypectomy syndrome using different criteria to define it. The aim of this study is to detect potential risk factors and predictors for developing PPS and to define the main criteria of PPS. Methods: In this retrospective monocentric study, 475 out of 966 patients who underwent colonoscopy with polypectomy from October 2015 to June 2020 were included. The main criterion of PPS is defined as the development of postinterventional abdominal pain lasting more than six hours. Results: A total of 9.7% of the patients developed PPS, which was defined as local abdominal pain around the polypectomy area after six hours. A total of 8.6% of the study population had abdominal pain within six hours postintervention. A total of 3.7% had an isolated triad of fever, leukocytosis, and increased CRP in the absence of abdominal pain. Increased CRP combined with an elevated temperature over 37.5 °C seems to be a positive predictor for developing PPS. Four independent risk factors could be detected: serrated polyp morphology, polypoid configurated adenomas, polyp localization in the cecum, and the absence of intraepithelial neoplasia. Conclusions: Four independent risk factors for developing PPS were detected. The combination of increased CRP levels with elevated temperature seems to be a predictor for this pathology. As expected, the increasing use of cold snare polypectomies will reduce the incidence of this syndrome. Key summary: Our monocentric study on 966 patients detected four independent risk factors for developing PPS: pedunculated polyp, resected polyps in the cecum, absence of IEN, and serrated polyp morphology. The combination of increased CRP levels with elevated temperature seems to be a predictor for this pathology. |
| first_indexed | 2024-03-08T11:01:22Z |
| format | Article |
| id | doaj.art-b0b2801fe5d94a0eb42ca3ec4badee4e |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-08T11:01:22Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-b0b2801fe5d94a0eb42ca3ec4badee4e2024-01-26T16:00:16ZengMDPI AGDiagnostics2075-44182024-01-0114212710.3390/diagnostics14020127Analysis of Predictors and Risk Factors of Postpolypectomy SyndromeStefano Fusco0Michelle E. Bauer1Ulrike Schempf2Dietmar Stüker3Gunnar Blumenstock4Nisar P. Malek5Christoph R. Werner6Dörte Wichmann7Department of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyDepartment of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyDepartment of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyDepartment of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyDepartment of Clinical Epidemiology, Eberhard-Karls-University, 72076 Tübingen, GermanyDepartment of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyDepartment of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyDepartment of Internal Medicine I, Section of Gastroenterology, Gastrointestinal Oncology, Hepatology, Infectiology and Geriatrics, University Hospital of Tübingen, 72076 Tübingen, GermanyBackground and aims: Postpolypectomy syndrome (PPS) is a relevant adverse event that can appear after polypectomy. Several publications mention postpolypectomy syndrome using different criteria to define it. The aim of this study is to detect potential risk factors and predictors for developing PPS and to define the main criteria of PPS. Methods: In this retrospective monocentric study, 475 out of 966 patients who underwent colonoscopy with polypectomy from October 2015 to June 2020 were included. The main criterion of PPS is defined as the development of postinterventional abdominal pain lasting more than six hours. Results: A total of 9.7% of the patients developed PPS, which was defined as local abdominal pain around the polypectomy area after six hours. A total of 8.6% of the study population had abdominal pain within six hours postintervention. A total of 3.7% had an isolated triad of fever, leukocytosis, and increased CRP in the absence of abdominal pain. Increased CRP combined with an elevated temperature over 37.5 °C seems to be a positive predictor for developing PPS. Four independent risk factors could be detected: serrated polyp morphology, polypoid configurated adenomas, polyp localization in the cecum, and the absence of intraepithelial neoplasia. Conclusions: Four independent risk factors for developing PPS were detected. The combination of increased CRP levels with elevated temperature seems to be a predictor for this pathology. As expected, the increasing use of cold snare polypectomies will reduce the incidence of this syndrome. Key summary: Our monocentric study on 966 patients detected four independent risk factors for developing PPS: pedunculated polyp, resected polyps in the cecum, absence of IEN, and serrated polyp morphology. The combination of increased CRP levels with elevated temperature seems to be a predictor for this pathology.https://www.mdpi.com/2075-4418/14/2/127postpolypectomy syndromePPScolonoscopypolypadenomaabdominal pain |
| spellingShingle | Stefano Fusco Michelle E. Bauer Ulrike Schempf Dietmar Stüker Gunnar Blumenstock Nisar P. Malek Christoph R. Werner Dörte Wichmann Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome Diagnostics postpolypectomy syndrome PPS colonoscopy polyp adenoma abdominal pain |
| title | Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome |
| title_full | Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome |
| title_fullStr | Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome |
| title_full_unstemmed | Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome |
| title_short | Analysis of Predictors and Risk Factors of Postpolypectomy Syndrome |
| title_sort | analysis of predictors and risk factors of postpolypectomy syndrome |
| topic | postpolypectomy syndrome PPS colonoscopy polyp adenoma abdominal pain |
| url | https://www.mdpi.com/2075-4418/14/2/127 |
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