195:
PPCS is caused by an electrocautery-induced injury to the wall of the colon that occurs during removal of colon polyps. PPCS occurs when the electric current extends beyond the mucosa, entering the muscularis propria and serosa, resulting in a full thickness (transmural) burn injury. The transmural
237:
PPCS occurs about 1% of cases following polypectomy with electrocautery. Risk factors for PPCS include right colon polypectomy, large polyp size (>2 cm), non-polypoid lesions (laterally spreading lesions), and hypertension.
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PPCS may resemble perforation. Recognition of PPCS is important, since treatment usually does not require surgery, unlike gastrointestinal perforation. Laboratory studies may show elevated white blood cell count
187:
PPCS causes abdominal pain and fever. The condition usually onsets within 1–5 days after colonoscopy with polypectomy using electrocautery. Physical examination may show evidence of peritonitis.
427:
Shin, YJ; Kim, YH; Lee, KH; Lee, YJ; Park, JH (October 2016). "CT findings of post-polypectomy coagulation syndrome and colonic perforation in patients who underwent colonoscopic polypectomy".
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Treatment of PPCS consists of intravenous fluids, antibiotics, and avoiding any oral intake of food, water, etc. until symptoms improve.
318:
La Regina, D; Mongelli, F; Fasoli, A; Lollo, G; Ceppi, M; Saporito, A; Garofalo, F; Di
Giuseppe, M; Ferrario di Tor Vajana, A (2020).
172:
320:"Clinical Adverse Events after Endoscopic Resection for Colorectal Lesions: A Meta-Analysis on the Antibiotic Prophylaxis"
213:. CT scan of the abdomen may show severe mural thickening, without air present outside the gastrointestinal tract.
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95:
160:
90:
85:, right colon polypectomy, large polyp size (>2 cm), non-polypoid lesions (laterally spreading lesions)
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Hirasawa, K; Sato, C; Makazu, M; Kaneko, H; Kobayashi, R; Kokawa, A; Maeda, S (10 September 2015).
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39:
436:
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380:"What Is Different between Postpolypectomy Fever and Postpolypectomy Coagulation Syndrome?"
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266:"Coagulation syndrome: Delayed perforation after colorectal endoscopic treatments"
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Waye, JD (June 1993). "Management of complications of colonoscopic polypectomy".
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Some low quality evidence suggests that antibiotic prophylaxis may prevent PPCS.
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burn results in localized inflammation of the peritoneum (peritonitis).
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159:, which results in a burn injury to the wall of the
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209:) and elevated inflammatory markers such as
270:World Journal of Gastrointestinal Endoscopy
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113:IV fluids, antibiotics, nothing by mouth
324:Digestive Diseases (Basel, Switzerland)
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148:) is a condition that occurs following
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7:
138:Postpolypectomy coagulation syndrome
22:Postpolypectomy coagulation syndrome
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173:elevated white blood cell count
72:Polypectomy during colonoscopy
1:
163:. The condition results in
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441:10.1016/j.crad.2016.03.010
64:1-5 days after polypectomy
30:Transmural burn syndrome,
32:Postpolypectomy syndrome
396:10.5946/ce.2014.47.3.205
283:10.4253/wjge.v7.i12.1055
142:Postpolypectomy syndrome
464:The Gastroenterologist
161:gastrointestinal tract
105:Antibiotic prophylaxis
91:Differential diagnosis
56:Abdominal pain, fever
378:Kim, HW (May 2014).
34:Coagulation syndrome
175:and elevated serum
429:Clinical Radiology
384:Clinical Endoscopy
211:C-reactive protein
183:Signs and symptoms
177:C-reactive protein
337:10.1159/000502055
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16:Medical condition
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501:Gastroenterology
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45:Gastroenterology
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276:(12): 1055–61.
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17:
12:
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5:
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435:(10): 1030–6.
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165:abdominal pain
154:electrocautery
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3:
2:
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470:(2): 158–64.
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390:(3): 205–6.
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383:
330:(1): 15–22.
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236:
233:Epidemiology
228:
220:
207:leukocytosis
203:
194:
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145:
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83:Hypertension
78:Risk factors
157:polypectomy
150:colonoscopy
96:Perforation
61:Usual onset
27:Other names
490:Categories
242:References
225:Prevention
102:Prevention
496:Endoscopy
354:199573818
217:Treatment
200:Diagnosis
128:Frequency
123:Excellent
119:Prognosis
110:Treatment
40:Specialty
449:27085213
414:24944980
346:31408875
302:26380051
191:Etiology
52:Symptoms
476:8049888
405:4058534
293:4564832
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69:Causes
350:S2CID
169:fever
152:with
472:PMID
445:PMID
410:PMID
342:PMID
298:PMID
146:PPCS
437:doi
400:PMC
392:doi
332:doi
288:PMC
278:doi
144:or
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388:47
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362:^
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328:38
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310:^
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131:1%
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205:(
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