Delayed perforation after cold snare polypectomy for small colonic polyps in a patient receiving oral corticosteroids. Issue 1 (20th July 2022)

• Record Type: Journal Article
• Authors: Iwano, Hirotoshi; Sato, Takayuki; Ishii, Yoshifumi; Niki, Suguru; Sawaya, Reiji; Tamakawa, Susumu; Yamada, Masataka
• Is Part Of: DEN open. Volume 3:Issue 1(2023)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-07-20
• Subjects: bullous pemphigoid -- cold snare polypectomy -- colorectal polyps -- corticosteroid -- perforation; Gastrointestinal system -- Diseases -- Endoscopic surgery -- Periodicals; Gastroenterology -- Periodicals; 616.3307545
• DOI: 10.1002/deo2.157
• Languages: English
• ISSNs: 2692-4609

Abstract

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.