Analyses of randomized trials indicate that prophylactic clipping of EMR sites \u226520 mm in size in the proximal colon reduces the risk of delayed hemorrhage.<\/p>\n\n\n\n
In a multicenter randomized trial at 10 Japanese centers, 1080 patients with 2960 lesions <20 mm in size were randomized to prophylactic clipping or not. About 57% of polyps were <10 mm in size, and clips were used in 22% of lesions randomized to the no-clipping arm. The postpolypectomy bleed rate was 2.7% in the nonclipped group and 2.3% in the clipped group. In the per-protocol analysis, the bleed rate was 3% in the nonclipped group and 2.4% in the clipped group. There were no differences in transfusion between the groups, and no life-threatening bleeding occurred in either group. Median procedure time was 5 minutes shorter in the nonclipped group, and symptoms, such as abdominal bloating, were lower in the nonclipped group (19% vs 26% in the per-protocol analysis). Multivariable analysis found that the only risk factors for delayed bleeding were larger numbers of resected polyps and hypertension.<\/p>\n","protected":false},"excerpt":{"rendered":"
Analyses of randomized trials indicate that prophylactic clipping of EMR sites \u226520 mm in size in the proximal colon reduces the risk of delayed hemorrhage. In a multicenter randomized trial at 10 Japanese centers, 1080 patients with 2960 lesions <20 mm in size were randomized to prophylactic clipping or not. About 57% of polyps were … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[268,2069],"class_list":["post-8532","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-emr","tag-prophylactic-clipping"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8532","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=8532"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8532"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}