Browsing by Author "Mangas-SanJuan, Carolina"
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- Delphi consensus statement for the management of delayed post-polypectomy bleedingPublication . Rodríguez de Santiago, Enrique; de la Iglesia, Sandra Pérez; de Frutos, Diego; Marín-Gabriel, José Carlos; Mangas-SanJuan, Carolina; Honrubia López, Raúl; Uchima, Hugo; Aicart-Ramos, Marta; Rodríguez Gandía, Miguel Ángel; Valdivielso Cortázar, Eduardo; Zabala, Felipe Ramos; Álvarez, Marco Antonio; Solano Sánchez, Marina; González Santiago, Jesús Manuel; Albéniz, Eduardo; Hijos-Mallada, Gonzalo; Quismondo, Nerea Castro; Fraile-López, Miguel; Martínez Ares, David; Tejedor-Tejada, Javier; Hernández, Luis; Gornals, Joan B.; Quintana-Carbo, Sergi; Ocaña, Juan; Neves, João A. Cunha; Martínez Martínez, Juan; Pinilla, María López-Cerón; Abadía, Carlos Dolz; Pellisé, MaríaBackground: Delayed post-polypectomy bleeding (DPPB) is the most common adverse event following colonic polypectomy, yet its management remains highly heterogeneous and lacks standardization. A considerable number of colonoscopies performed for DPPB may be unnecessary and do not result in hemostatic intervention.Objectives: To develop evidence-based statements to guide clinical decision-making in DPPB.Design: Multidisciplinary Delphi consensus statement.Methods: A panel of 29 experts in gastroenterology, hematology, radiology, and surgery was assembled. Through a systematic review of the literature and a modified Delphi process, consensus statements were developed through iterative rounds of anonymous voting. Statements were revised following anonymous voting and feedback at each round. Those achieving 80% agreement were accepted.Results: The expert panel reached a consensus on 36 statements, covering areas such as antithrombotic management, bowel preparation, colonoscopy indications, and therapeutic hemostatic modalities. Key recommendations include guidance for managing self-limited bleeding and risk stratification to reduce the rate of unnecessary colonoscopies, as well as recommendations for hemodynamically unstable patients who may require primary angioembolization. A practical clinical algorithm is proposed.Conclusion: This document provides a consensus-based framework for managing DPPB. These recommendations aim to improve patient outcomes and optimize healthcare resources while fostering a standardized approach to this common adverse event.