Prophylactic clipping is generally considered effective for endoscopic mucosal resection (EMR) defects of lesions ≥20 mm removed with electrocautery and proximal to the splenic flexure.
Prophylactic Clipping
Prophylactic Clipping
Prophylactic Clipping to Prevent Postpolypectomy Bleeding After Oral Anticoagulants
Prophylactic Clipping to Prevent Postpolypectomy Bleeding After Oral Anticoagulants
Prophylactic Clipping Ineffective for Polyps Less Than 20 mm in Size
Prophylactic Clipping Ineffective for Polyps Less Than 20 mm in Size
Analyses of randomized trials indicate that prophylactic clipping of EMR sites ≥20 mm in size in the proximal colon reduces the risk of delayed hemorrhage.