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. 2021 Aug 5;70(9):1611–1628. doi: 10.1136/gutjnl-2021-325184

Table 1.

Risk stratification of endoscopic procedures based on the risks of haemorrhage and of intervention required to treat a complication

High-risk procedures Low-risk procedures
Endoscopic polypectomy* Diagnostic procedures±biopsy sampling
ERCP with sphincterotomy Biliary or pancreatic stenting
Ampullectomy Device-assisted enteroscopy without polypectomy
Endoscopic mucosal resection or endoscopic submucosal dissection Oesophageal, enteral or colonic stenting
Endoscopic dilatation of strictures in the upper or lower GI tract Endoscopic ultrasound without sampling or interventional therapy
Endoscopic therapy of varices
Percutaneous endoscopic gastrostomy
Endoscopic ultrasound-guided sampling or with interventional therapy
Oesophageal or gastric radiofrequency ablation

*Consider cold snare resection of polyps <1 cm on continued clopidogrel monotherapy.

ERCP, endoscopic retrograde cholangiopancreatography.