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Original Article
- Clipping for the Prevention of Immediate Bleeding after Polypectomy of Pedunculated Polyps: A Pilot Study
- Sun-Jin Boo, Jeong-Sik Byeon, Seon Young Park, Jong Sun Rew, Da Mi Lee, Sung Jae Shin, Dong Uk Kim, Geum Am Song
- Clin Endosc 2012;45(1):84-88. Published online March 31, 2012
- DOI: https://doi.org/10.5946/ce.2012.45.1.84
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Abstract
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ePub Background/Aims Immediate postpolypectomy bleeding (IPPB) increases the procedure time and it may disturb performing a safe polypectomy. The purpose of this study is to investigate whether clipping before snare polypectomy of large pedunculated polyps is useful for the prevention of IPPB.
Methods This is a single arm, pilot study. We enrolled patients with pedunculated colorectal polyps that were 1 cm in size or more from 4 university hospitals between June 2009 and June 2010. Clips were applied at the stalk and snare polypectomy was then performed. The complications, including IPPB, were investigated.
Results Fifty six pedunculated polyps in 47 patients (Male:Female=36:11; age, 56±11 years) were included. The size of the polyp heads was 17±8 mm. Tubular adenoma was most common (57%). The number of clips used before snare polypectomy was 2±0.5. The procedure was successful in all cases. IPPB occurred in 2 cases (3.6%), and both of these were managed by additional clipping. Delayed bleeding occurred in another one case (1.8%), which improved with conservative treatment. No perforation occurred.
Conclusions We suggest that clipping before snare polypectomy of pedunculated polyps may be an easy and effective technique for the prevention of IPPB, and this should be confirmed in large scale, prospective, controlled studies.
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Citations
Citations to this article as recorded by
- A novel technique using endoscopic band ligation for removal of long-stalked (>10 mm) pedunculated colon polyps
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Saudi Journal of Gastroenterology.2021; 27(5): 296. CrossRef - Endoscopic polypectomy devices
Vinay Chandrasekhara, Nikhil A. Kumta, Barham K. Abu Dayyeh, Manoop S. Bhutani, Pichamol Jirapinyo, Kumar Krishnan, John T. Maple, Joshua Melson, Rahul Pannala, Mansour A. Parsi, Amrita Sethi, Guru Trikudanathan, Arvind J. Trindade, David R. Lichtenstein
VideoGIE.2021; 6(7): 283. CrossRef - Prophylactic clip application for large pedunculated polyps before snare polypectomy may decrease immediate postpolypectomy bleeding
Jae Seung Soh, Myeongsook Seo, Kyung-Jo Kim
BMC Gastroenterology.2020;[Epub] CrossRef - Management of colonic polyps: an advancing discipline
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ANZ Journal of Surgery.2017; 87(5): 327. CrossRef - Massive post‐polypectomy hemorrhage: Successful tulip‐bundle technique with endoloop for hemostasis
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Gastrointestinal Endoscopy Clinics of North America.2015; 25(2): 303. CrossRef - Comparison of clipping with and without epinephrine injection for the prevention of post‐polypectomy bleeding in pedunculated colon polyps
Yehyun Park, Tae Joo Jeon, Ji Young Park, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Won Ho Kim, Sung Pil Hong
Journal of Gastroenterology and Hepatology.2015; 30(10): 1499. CrossRef - Endoscopic haemostasis: An overview of procedures and clinical scenarios
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Digestive and Liver Disease.2014; 46(9): 766. CrossRef - Advanced Endoscopic Resection of Colorectal Lesions
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Gastroenterology Clinics of North America.2013; 42(3): 459. CrossRef - A Cost-efficacy Decision Analysis of Prophylactic Clip Placement After Endoscopic Removal of Large Polyps
Neehar D. Parikh, Kyle Zanocco, Rajesh N. Keswani, Andrew J. Gawron
Clinical Gastroenterology and Hepatology.2013; 11(10): 1319. CrossRef - Fat Polyp, Thin Blood: Think Clip!
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Clinical Gastroenterology and Hepatology.2013; 11(10): 1333. CrossRef
- A novel technique using endoscopic band ligation for removal of long-stalked (>10 mm) pedunculated colon polyps
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