Clipping for the prevention of immediate bleeding after polypectomy of pedunculated polyps: A pilot study

Clinical Endoscopy

Volumn 45, Issue 1, 2012, Pages 84-88

  Boo, Sun Jin ^a   Byeon, Jeong Sik ^a   Young Park, Seon ^b   Sun Rew, Jong ^b   Mi Lee, Da ^c   Jae Shin, Sung ^c   Uk Kim, Dong ^d   Am Song, Geum ^d  

^a University of Ulsan College of Medicine   (South Korea)

^b Chonnam National University Medical School   (South Korea)

^c Ajou University School of Medicine   (South Korea)

^d Pusan National University School of Medicine   (South Korea)

Author keywords

Bleeding; Clip; Pedunculated polyp; Polypectomy

Indexed keywords

EID: 84874114375     PISSN: 22342400     EISSN: 22342443     Source Type: Journal    
DOI: 10.5946/ce.2012.45.1.84     Document Type: Article

References (17)

1. Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med 1993;329:1977-1981.
2. Citarda F, Tomaselli G, Capocaccia R, Barcherini S, Crespi M; Italian Multicentre Study Group. Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence. Gut 2001;48:812-815.
3. Winawer SJ, Zauber AG, Fletcher RH, et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. Gastroenterology 2006;130:1872-1885.
4. Levin B, Lieberman DA, McFarland B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology 2008;134:1570-1595.
5. Singh M, Mehta N, Murthy UK, Kaul V, Arif A, Newman N. Postpolypectomy bleeding in patients undergoing colonoscopy on uninterrupted clopidogrel therapy. Gastrointest Endosc 2010;71:998-1005.
6. Dobrowolski S, Dobosz M, Babicki A, Dymecki D, Hać S. Prophylactic submucosal saline-adrenaline injection in colonoscopic polypectomy: prospective randomized study. Surg Endosc 2004;18:990-993.
7. Dobrowolski S, Dobosz M, Babicki A, Glowacki J, Nalecz A. Blood supply of colorectal polyps correlates with risk of bleeding after colonoscopic polypectomy. Gastrointest Endosc 2006;63:1004-1009.
8. Kim HS, Kim TI, Kim WH, et al. Risk factors for immediate postpolypectomy bleeding of the colon: a multicenter study. Am J Gastroenterol 2006;101:1333-1341.
9. Dell'Abate P, Iosca A, Galimberti A, Piccolo P, Soliani P, Foggi E. Endoscopic treatment of colorectal benign-appearing lesions 3 cm or larger: techniques and outcome. Dis Colon Rectum 2001;44:112-118.
10. Cipolletta L, Bianco MA, Rotondano G, Catalano M, Prisco A, De Simone T. Endoclip-assisted resection of large pedunculated colon polyps. Gastrointest Endosc 1999;50:405-406.
11. Kouklakis G, Mpoumponaris A, Gatopoulou A, Efraimidou E, Manolas K, Lirantzopoulos N. Endoscopic resection of large pedunculated colonic polyps and risk of postpolypectomy bleeding with adrenaline injection versus endoloop and hemoclip: a prospective, randomized study. Surg Endosc 2009;23:2732-2737.
12. Di Giorgio P, De Luca L, Calcagno G, Rivellini G, Mandato M, De Luca B. Detachable snare versus epinephrine injection in the prevention of postpolypectomy bleeding: a randomized and controlled study. Endoscopy 2004;36:860-863.
13. Paspatis GA, Paraskeva K, Theodoropoulou A, et al. A prospective, randomized comparison of adrenaline injection in combination with detachable snare versus adrenaline injection alone in the prevention of postpolypectomy bleeding in large colonic polyps. Am J Gastroenterol 2006;101:2805.
14. Luigiano C, Ferrara F, Ghersi S, et al. Endoclip-assisted resection of large pedunculated colorectal polyps: technical aspects and outcome. Dig Dis Sci 2010;55:1726-1731.
15. Katsinelos P, Kountouras J, Paroutoglou G, et al. Endoloop-assisted polypectomy for large pedunculated colorectal polyps. Surg Endosc 2006; 20:1257-1261.
16. Dominitz JA, Eisen GM, Baron TH, et al. Complications of colonoscopy. Gastrointest Endosc 2003;57:441-445.
17. Fatima H, Rex DK. Minimizing endoscopic complications: colonoscopic polypectomy. Gastrointest Endosc Clin N Am 2007;17:145-156.