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 gastrointestinal 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 |
ERCP, endoscopic retrograde cholngiopancreatography
consider cold snare resection of polyps < 1 cm on continued clopidogrel monotherapy