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Delphi consensus statement for the management of delayed post-polypectomy bleeding

2025-04Journal article Open access
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dc.contributor.authorRodríguez de Santiago, Enrique
dc.contributor.authorde la Iglesia, Sandra Pérez
dc.contributor.authorde Frutos, Diego
dc.contributor.authorMarín-Gabriel, José Carlos
dc.contributor.authorMangas-SanJuan, Carolina
dc.contributor.authorHonrubia López, Raúl
dc.contributor.authorUchima, Hugo
dc.contributor.authorAicart-Ramos, Marta
dc.contributor.authorRodríguez Gandía, Miguel Ángel
dc.contributor.authorValdivielso Cortázar, Eduardo
dc.contributor.authorZabala, Felipe Ramos
dc.contributor.authorÁlvarez, Marco Antonio
dc.contributor.authorSolano Sánchez, Marina
dc.contributor.authorGonzález Santiago, Jesús Manuel
dc.contributor.authorAlbéniz, Eduardo
dc.contributor.authorHijos-Mallada, Gonzalo
dc.contributor.authorQuismondo, Nerea Castro
dc.contributor.authorFraile-López, Miguel
dc.contributor.authorMartínez Ares, David
dc.contributor.authorTejedor-Tejada, Javier
dc.contributor.authorHernández, Luis
dc.contributor.authorGornals, Joan B.
dc.contributor.authorQuintana-Carbo, Sergi
dc.contributor.authorOcaña, Juan
dc.contributor.authorNeves, João A. Cunha
dc.contributor.authorMartínez Martínez, Juan
dc.contributor.authorPinilla, María López-Cerón
dc.contributor.authorAbadía, Carlos Dolz
dc.contributor.authorPellisé, María
dc.date.accessioned2025-06-25T08:45:21Z
dc.date.available2025-06-25T08:45:21Z
dc.date.issued2025-04
dc.description.abstractBackground: 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.eng
dc.identifier.doi10.1177/17562848251329145
dc.identifier.eissn1756-2848
dc.identifier.issn1756-2848
dc.identifier.urihttp://hdl.handle.net/10400.1/27275
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSAGE Publications
dc.relation.hasversionhttps://journals.sagepub.com/doi/10.1177/17562848251329145
dc.relation.ispartofTherapeutic Advances in Gastroenterology
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectColonic polyps
dc.subjectColonoscopy
dc.subjectHemorrhage
dc.subjectPolypectomy
dc.titleDelphi consensus statement for the management of delayed post-polypectomy bleedingeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage25
oaire.citation.startPage1
oaire.citation.titleTherapeutic Advances in Gastroenterology
oaire.citation.volume18
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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