Abstract
To prevent post-operative hemorrhaging in patients who have undergone an endoscopic mucosal resection (EMR), it has not been definitively concluded that using a clip is the most effective method. We considered the benefits of hemostatic clips in this study.
During the period from January 2010 to February 2012 we conducted a randomized controlled trial at our hospital among patients who had undergone an EMR. In this trial we examined the hemostatic effect of using a plication clip. Four patients (1.0%) in the clipped group (n=211) and 9 patients (2.1%) in the non-clipped group (n=216) had post-operative bleeding, with no statistical differences between groups. Patients who had diabetes, a Ip polyp or who were using anticoagulant drugs were significantly more likely to experience related post-operative hemorrhaging in this study than those without those factors. Care should be taken with such patients.
In conclusion, because a plication clip had little effect in preventing post-EMR bleeding its use is unnecessary, if only to reduce labor and other costs.
