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Effect of prophylactic endoscopic clip placement on clinically significant post-endoscopic mucosal resection bleeding in the right colon: a single-centre, randomised controlled trial.


Gupta S, Sidhu M, Shahidi N, Vosko S, McKay O, Bahin FF et al.
Lancet Gastroenterol Hepatol 2022; 7: 152-160.

Some 231 patients with a pedunculated colonic polyp were randomly allocated to a clip on the stalk after endoscopic mucosal resection. Clip application reduced the rate of clinically significant bleeding: 3.4 versus 10.6 per cent; P=0.031.

Comment: Makes sense, but how much are the clips and how bad was the bleeding?

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