Prophylactic Clipping

ASGE Journal ScanKolon

Prophylactic Clipping to Prevent Postpolypectomy Bleeding After Oral Anticoagulants

Prophylactic Clipping to Prevent Postpolypectomy Bleeding After Oral Anticoagulants

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. 

ASGE Journal ScanKolon

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.