A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding

Backgrounds. The efficacy of clipping for preventing the delayed bleeding after the removal of colon polyps is still controversial. In order to clarify this efficacy, a randomized controlled study was performed. Methods. One hundred and fifty-six patients with colon neoplasms (288 lesions) were enr...

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Main Authors:	Dokoshi, Tatsuya, Fujiya, Mikihiro, Tanaka, Kazuyuki, Sakatani, Aki, Inaba, Yuhei, Ueno, Nobuhiro, Kashima, Shin, Goto, Takuma, Sasajima, Junpei, Tominaga, Motoya, Ito, Takahiro, Moriichi, Kentaro, Tanabe, Hiroki, Ikuta, Katsuya, Ohtake, Takaaki, Kohgo, Yutaka
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332985/

id	pubmed-4332985
recordtype	oai_dc
spelling	pubmed-43329852015-02-26 A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding Dokoshi, Tatsuya Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Inaba, Yuhei Ueno, Nobuhiro Kashima, Shin Goto, Takuma Sasajima, Junpei Tominaga, Motoya Ito, Takahiro Moriichi, Kentaro Tanabe, Hiroki Ikuta, Katsuya Ohtake, Takaaki Kohgo, Yutaka Clinical Study Backgrounds. The efficacy of clipping for preventing the delayed bleeding after the removal of colon polyps is still controversial. In order to clarify this efficacy, a randomized controlled study was performed. Methods. One hundred and fifty-six patients with colon neoplasms (288 lesions) were enrolled in the study. The patients were randomly divided into two groups: clipping or nonclipping groups using a sealed envelope method before the endoscopic resections. Eight specialists and nine residents were invited to perform this procedure. The risk factors and the rates of delayed bleeding after the endoscopic resections in each group were investigated. Results. There were no significant differences in the bleeding rate between the clipping and nonclipping groups, while the length of the procedure was significantly longer and the cost was higher in the clipping group than in the nonclipping group. The rate of bleeding was significantly higher in cases with polyps 2 cm or larger and with a longer procedure time, while none of the other factors affected the bleeding rate. Conclusions. This randomized controlled study revealed no significant effect of prophylactic clipping for preventing delayed bleeding after the endoscopic resection of colon polyps. Hindawi Publishing Corporation 2015 2015-02-03 /pmc/articles/PMC4332985/ /pubmed/25722979 http://dx.doi.org/10.1155/2015/490272 Text en Copyright © 2015 Tatsuya Dokoshi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Dokoshi, Tatsuya Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Inaba, Yuhei Ueno, Nobuhiro Kashima, Shin Goto, Takuma Sasajima, Junpei Tominaga, Motoya Ito, Takahiro Moriichi, Kentaro Tanabe, Hiroki Ikuta, Katsuya Ohtake, Takaaki Kohgo, Yutaka
spellingShingle	Dokoshi, Tatsuya Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Inaba, Yuhei Ueno, Nobuhiro Kashima, Shin Goto, Takuma Sasajima, Junpei Tominaga, Motoya Ito, Takahiro Moriichi, Kentaro Tanabe, Hiroki Ikuta, Katsuya Ohtake, Takaaki Kohgo, Yutaka A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding
author_facet	Dokoshi, Tatsuya Fujiya, Mikihiro Tanaka, Kazuyuki Sakatani, Aki Inaba, Yuhei Ueno, Nobuhiro Kashima, Shin Goto, Takuma Sasajima, Junpei Tominaga, Motoya Ito, Takahiro Moriichi, Kentaro Tanabe, Hiroki Ikuta, Katsuya Ohtake, Takaaki Kohgo, Yutaka
author_sort	Dokoshi, Tatsuya
title	A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding
title_short	A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding
title_full	A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding
title_fullStr	A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding
title_full_unstemmed	A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding
title_sort	randomized study on the effectiveness of prophylactic clipping during endoscopic resection of colon polyps for the prevention of delayed bleeding
description	Backgrounds. The efficacy of clipping for preventing the delayed bleeding after the removal of colon polyps is still controversial. In order to clarify this efficacy, a randomized controlled study was performed. Methods. One hundred and fifty-six patients with colon neoplasms (288 lesions) were enrolled in the study. The patients were randomly divided into two groups: clipping or nonclipping groups using a sealed envelope method before the endoscopic resections. Eight specialists and nine residents were invited to perform this procedure. The risk factors and the rates of delayed bleeding after the endoscopic resections in each group were investigated. Results. There were no significant differences in the bleeding rate between the clipping and nonclipping groups, while the length of the procedure was significantly longer and the cost was higher in the clipping group than in the nonclipping group. The rate of bleeding was significantly higher in cases with polyps 2 cm or larger and with a longer procedure time, while none of the other factors affected the bleeding rate. Conclusions. This randomized controlled study revealed no significant effect of prophylactic clipping for preventing delayed bleeding after the endoscopic resection of colon polyps.
publisher	Hindawi Publishing Corporation
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332985/
_version_	1613189950380965888

A Randomized Study on the Effectiveness of Prophylactic Clipping during Endoscopic Resection of Colon Polyps for the Prevention of Delayed Bleeding

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