Article

Clips for the prevention and treatment of postpolypectomy bleeding (hemoclips in polypectomy).

Department of Gastroenterology, University Hospital of Santiago de Compostela, A Coruña, Spain.
Revista espanola de enfermedades digestivas: organo oficial de la Sociedad Espanola de Patologia Digestiva (impact factor: 1.55). 09/2002; 94(8):457-62. pp.457-62
Source: PubMed

ABSTRACT The most accurate method for the prevention and treatment of complications after polypectomy has not been well defined. The prophylactic use of hemoclips may reduce the risk of bleeding, mainly in pedunculated big polyps.
To evaluate the accuracy of hemoclips in the prophylaxis and treatment of bleeding after endoscopic polypectomy.
Retrospective study of 223 consecutive endoscopic polypectomies performed in our Endoscopy Unit between january and october 2001. Hemoclips were routinely used only for large polyps (15 to 40 mm); all of them were located in the colon except one, a gastric polyp.
From a total of 223 polypectomies (215 patients), hemoclips were used for 34 (15.2%), in 30 of them just before and in 4 just after polypectomy. When used prophylactically no complication was observed, except one mild bleeding episode (3.3%) that stopped with the placing of a second hemoclip. The therapeutic clipping (4 polypectomies) induced immediate haemostasis in all cases.
The prophylactic use of hemoclips is associated with a very low risk of bleeding after endoscopic resection of big polyps. Therapeutic clipping is an effective measure for polypectomy-related bleeding.

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Keywords

223 consecutive endoscopic polypectomies
 
223 polypectomies
 
4 polypectomies
 
accurate method
 
big polyps
 
colon
 
effective measure
 
endoscopic polypectomy
 
endoscopic resection
 
Endoscopy Unit
 
gastric polyp
 
large polyps
 
low risk
 
pedunculated big polyps
 
polypectomy
 
polypectomy-related
 
prophylactic use
 
Retrospective study
 
second hemoclip
 
Therapeutic clipping
 

M Sobrino Faya