Endosc Int Open 2016; 04(05): E583-E584
DOI: 10.1055/s-0042-103416
Case report
© Georg Thieme Verlag KG Stuttgart · New York

Seven cases of upper gastrointestinal bleeding after cold biopsy

Khaled Alneaimi
Department of Gastroenterology, Ambroise Paré Hospital, Boulogne, France
,
Ali Abdelmoula
Department of Gastroenterology, Ambroise Paré Hospital, Boulogne, France
,
Magalie Vincent
Department of Gastroenterology, Ambroise Paré Hospital, Boulogne, France
,
Camille Savale
Department of Gastroenterology, Ambroise Paré Hospital, Boulogne, France
,
Birane Baye
Department of Gastroenterology, Ambroise Paré Hospital, Boulogne, France
,
Gilles Lesur
Department of Gastroenterology, Ambroise Paré Hospital, Boulogne, France
› Author Affiliations
Further Information

Publication History

submitted: 11 November 2015

accepted after revision: 12 February 2016

Publication Date:
08 April 2016 (online)

Background and study aims: Routine biopsy of the upper gastrointestinal tract is performed with increasing frequency. It is generally considered to be safe without significant complication. However, gastrointestinal bleeding as a result of cold biopsy is a known complication. We report seven cases of upper gastrointestinal bleeding after cold biopsy and discuss clinical data, risks factors, severity and management of this event. We suggest that physicians must be more cautious with this rare but potentially severe complication.

 
  • References

  • 1 Denis-Ribeiro M, Areia M, De Vries AC et al. Management of precancerous conditions and lesions in the stomach: guideline from the ESGE, EHSG, ESP and the SFED. Endoscopy 2012; 44: 74-94
  • 2 Shaukat A, Wang A, Acosta RD et al. The role of endoscopy in dyspepsia. Gastrointest Endosc 2005; 82: 227-232
  • 3 Ben-Menachem T, Decker GA, Early DS et al. Adverse events of upper GI endoscopy. Gastrointest Endosc 2012; 76: 707-718
  • 4 Cotton PB, Eisen GM, Aabakken L et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc 2010; 71: 446-452
  • 5 Romagnuolo J, Cotton PB, Eisen G et al. Identifying and reporting risk factors for adverse events in endoscopy. Part II: non cardiopulmonary events. Gastrointest Endosc 2011; 73: 586-597
  • 6 Vu CK, Korman MG, Bejer I et al. Gastrointestinal bleeding after cold biopsy. Am J Gastroenterol 1998; 93: 1141-1143
  • 7 Sarkis F, Daya Abu H, Sharara A et al. Delayed overt gastrointestinal bleeding after cold endoscopic biopsy. Endoscopy 2013; 45: 75
  • 8 Boustière C, Veitch A, Vanbiervliet G et al. Endoscopy and antiplatelet agents.ESGE guideline. Endoscopy 2011; 43: 445-458