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oai:docta.ucm.es:20.500.14352/1307042026-01-22T00:54:40Zcom_20.500.14352_14col_20.500.14352_15

Rodríguez de Santiago, E. Marín Gabriel, José Carlos Pellisé, M. 2026-01-21T11:08:24Z 2026-01-21T11:08:24Z 2025 Rodríguez De Santiago E, Pérez De La Iglesia S, De Frutos D, Marín-Gabriel JC, Mangas-SanJuan C, Honrubia López R, et al. Delphi consensus statement for the management of delayed post-polypectomy bleeding. Therap Adv Gastroenterol 2025;18:17562848251329145. https://doi.org/10.1177/17562848251329145. 10.1177/17562848251329145 https://hdl.handle.net/20.500.14352/130704 https://doi.org/10.1177/17562848251329145 https://journals.sagepub.com/doi/10.1177/17562848251329145 Background: 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 http://creativecommons.org/licenses/by-nc/4.0/ open access Attribution-NonCommercial 4.0 International Delphi consensus statement for the management of delayed post-polypectomy bleeding journal article