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Thread: post polypectomy syndrome

  1. #1
    Join Date
    Apr 2007

    Default post polypectomy syndrome

    AAPC: Back to School
    Can anyone tell me the diagnosis of post polypectomy syndrome ?


  2. #2
    Join Date
    Apr 2007
    Pensacola, Fl

    Default Found this article online and this is what I think.

    Post polypectomy electrocoagulation syndrome (also known as
    postpolypectomy syndrome and transmural burn syndrome)
    refers to the development of abdominal pain, fever, leukocytosis,
    and peritoneal inflammation in the absence of frank perforation
    that occurs after polypectomy with electrocoagulation
    Recognition of postpolypectomy syndrome is important to avoid
    unnecessary exploratory laparotomy since it resolves with
    conservative treatment in the majority of patients.

    Postpolypectomy syndrome develops when electrical current
    applied during polypectomy extends past the mucosa into the
    muscularis propria and serosa, resulting in a transmural burn without perforation.
    Serosal irritation leads to a localized
    inflammatory response that manifests clinically as a localized

    So I'm thinking 567.9 (localized peritonitis) description says unspecified peritonitis

  3. #3
    Join Date
    Apr 2007
    Fayetteville, NC


    How about 564.2 or 998.9?
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

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