Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: There is insufficient evidence regarding the management of hematochezia after colorectal endoscopic mucosal resection (EMR) without endoscopic hemostasis.
Objectives: The aim of this study was to develop an observable score for hematochezia after colorectal EMR.
Design: Retrospective study.
Methods: This retrospective study included three hospitals in Japan. During the study period, colorectal EMR was performed in 3989 patients (11,414 lesions). Post-EMR hematochezia (delayed bleeding (DB)) was observed in 169 patients (512 lesions). Of these, 47 patients (150 lesions) were classified into the Hemostasis Group, comprising those who underwent endoscopic hemostasis. The remaining 122 (362 lesions) were classified into the non-hemostasis group, comprising those who underwent endoscopy without hemostasis, received preventive hemostasis, and did not undergo emergency endoscopy. Weighted points were assigned to predict observable cases following colorectal EMR through multivariate logistic regression analysis, enabling the development of a predictive model.
Results: The prediction model comprised three variables (male gender, American Society of Anesthesiologists Physical Status 3, direct oral anticoagulant). According to the definition, the total score was categorized as lowly observable (2 or 3 points) and highly observable (0 or 1 points) for DB after colorectal EMR. As a result, the rates of observable cases for each risk category were 45.7% and 81.8%, respectively. The model showed good discrimination ability from the c-statistic (95% CI) of 0.71 (0.63-0.79).
Conclusion: Although further prospective studies are necessary to validate the utility of the score, it may be useful in clinical practice.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12280549 | PMC |
| http://dx.doi.org/10.1177/17562848251356112 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Updates in the endoscopic management of colorectal polyps.
Indian J Gastroenterol
September 2025
Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, NSW, 2145, Australia.
Endoscopic resection of pre-malignant polyps remains a cornerstone of colorectal cancer prevention. This review provides an evidence-based analysis of the current approaches to endoscopic colorectal polyp management. Cold snare resection is recommended for small and diminutive polyps.
View Article and Find Full Text PDFUsefulness of Underwater Endoscopic Mucosal Resection Compared With Conventional Endoscopic Mucosal Resection for Early Gastric Cancer.
J Gastroenterol Hepatol
September 2025
Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.
Background And Aims: Endoscopic mucosal resection (EMR) is one of the standard treatments for small early gastric cancer (EGC) but has a low R0 resection rate. Consequently, underwater EMR (UEMR) has become the new standard treatment for endoscopic resection of colorectal and duodenal tumors; however, no study has compared the effectiveness of UEMR and conventional EMR (CEMR) for EGC. Therefore, in this study, we aimed to evaluate the usefulness of UEMR for EGC compared with that of CEMR.
View Article and Find Full Text PDFScarred and complex colorectal polyps: Traditional techniques and emerging alternatives.
World J Methodol
December 2025
Endoscopy Unit, Department of Endemic Medicine, Helwan University, Cairo 11795, Egypt.
Colorectal polyps remain a significant health concern because they can develop into cancer. Therefore, accurate assessment and diagnosis of polyps, along with appropriate treatment decisions, are crucial in preventing complications or malignant transformation. Some polyps are classified as complex polyps, which means they fail to elevate due to a scar from a previously removed polyp or can be determined by a scoring system like the size/morphology/site/access score, which considers factors like site, morphology, size, and access.
View Article and Find Full Text PDFComparison of long-term survival between EMR and surgery in patients with stage T1 colorectal cancer: an exploration of survival after surgery.
Gastrointest Endosc
July 2025
Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Sichuan University-Oxford University Huaxi Gastrointestinal Cancer Centre, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Trends in Surgical and Endoscopic Resection Intervention for Non-malignant Colorectal Polyps Over the Last Decade: A Nationwide Analysis.
Dig Dis Sci
August 2025
Division of Gastroenterology, Hepatology, and Nutrition, Wexler School of Medicine, The Ohio State University, Columbus, OH, USA.
Introduction: Surgery for non-malignant colorectal polyps is rarely performed and is considered if endoscopic removal is not feasible or unsuccessful, especially since the development of enhanced endoscopic mucosal resection (EMR) techniques and the advancements in endoscopic submucosal dissection (ESD). We aimed to evaluate the trend of surgery and endoscopic resection in patients with non-malignant colorectal polyps from 2014 to 2024.
Methods: We conducted a retrospective cohort study in the United States using the TriNetX research network to identify patients with non-malignant colorectal polyps who underwent surgery.