title: Colonoscopy polypectomy management in Glanzmann's thrombasthenia.
abstract: Glanzmann's thrombasthenia (GT) is a rare autosomal recessive bleeding syndrome characterized by abnormal Glycoprotein IIb/IIIa complex (GIIb/IIIa) on platelets with resultant abnormality in platelet aggregation. There is very little information regarding polypectomy management in GT. We report a single patient with this rare disease, who underwent sequential endoscopic management of large colon polyps. Polypectomy in our GT patient was complicated by immediate and delayed bleeding. Multiple clips used after standard cautery polypectomy for a polyp 10 mm or larger in our GT patient, was most effective in preventing immediate and delayed post-polypectomy bleeding than other known therapeutic approaches. We favor preemptive use of multiple clips in large polypectomy defects for GT patients and we may argue the added cost may be offset by the reduction in the need for blood products, and by averting or shortening potential hospitalizations.
authors.affiliation: Dimple Raina, Arvind Movva, Fadi Rahhal, Khomani Abderrahim, Robert Schade, Sherman M Chamberlain, Section of Gastroenterology, Medical College of Georgia, Augusta, GA 30912, United States.
authors.forename: Dimple
authors.initials: D
authors.lastname: Raina
authors.forename: Arvind
authors.initials: A
authors.lastname: Movva
authors.forename: Fadi
authors.initials: F
authors.lastname: Rahhal
authors.forename: Khomani
authors.initials: K
authors.lastname: Abderrahim
authors.forename: Robert
authors.initials: R
authors.lastname: Schade
authors.forename: Sherman M
authors.initials: SM
authors.lastname: Chamberlain