S Modelina

Royal Free London NHS Foundation Trust

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R Canda

Royal Free London NHS Foundation Trust

Rajan Patel

Christchurch Hospital

A Alisa

University of Kufa

Reginald Hall

Royal Free London NHS Foundation Trust

KM Ang

Royal Free London NHS Foundation Trust

K. Linda Tang

Chinese Academy of Medical Sciences & Peking Union Medical College

Kalpesh Besherdas

Royal Free London NHS Foundation Trust

S Musa

Hamad Medical Corporation

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Royal Free London NHS Foundation Trust

Barnet Hospital

University College London

The Royal Free Hospital

Chase Farm Hospital

University Gastroenterology

Barnet and Chase Farm NHS Hospitals Trust

University of Kufa

St Helier Hospital

Bupa Cromwell Hospital

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MEASURES TO REDUCE POST-POLYPECTOMY BLEEDING IN PEDUNCULATED POLYPS - DOES A CLIP HELP?

Endoscopy (2020)

Rajan Patel S Modelina Reginald Hall R Canda Kalpesh Besherdas

Aims Immediate and delayed post-polypectomy bleeding (PPB) is a serious complication after endoscopic removal of large pedunculated polyps. Options to decrease risk of bleeding include injecting the stalk with adrenaline, placing clips across the stalk (before or after the polypectomy) and placement of a nylon loop around the stalk. The principle of closing a defect to reduce complications is well established but the cost effectiveness of prophylactic clipping remains controversial. There are currently no consensus guidelines. We aimed to investigate the use of endoscopic clips during polypectomy of pedunculated polyps >10mm and assess its association with PPB.

Polypectomy

CLIPS

Clipping (morphology)

10.1055/s-0040-1704069

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ISOLATED TERMINAL ILEITIS AT COLONOSCOPY – DOES ULCERATION PREDICT CROHN’S DISEASE?

Endoscopy (2020)

Rajan Patel KM Ang S Modelina R Canda S Musa

Aims Faecal calprotectin (FC) is a biomarker that is elevated in active inflammatory bowel disease (IBD). Ileo-colonoscopy is usually performed to confirm a diagnosis of IBD, but isolated non-specific terminal ileitis is often inconclusive despite biopsy. We explored the the presence of macroscopic terminal ileum (TI) ulceration in predicting Crohn’s disease, over and above endoscopic terminal ileitis alone.

Ileitis

Terminal ileum

10.1055/s-0040-1704894

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