GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
EFFECTIVE CLIPPING TECHNIQUE TO PREVENT HEMORRHAGE AFTER COLONOSCOPIC POLYPECTOMY
Haruo NISHINO, Hiroshi NOZAWA, Fuyuhiko INOUE
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JOURNAL FREE ACCESS

2005 Volume 47 Issue 2 Pages 220-226

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Abstract
In recent years, clipping technique, mainly placation of the wound, is frequently used to prevent hemorrhage after colonoscopic polypectomy. However, this procedure requires a number of clippings for a single lesion, and the application criteria tend to be focused on the size of lesions alone. In contrast, after sufficiently observing the wound conditions, particularly possible hemorrhage, by injecting water after polypectomy, we directly performed clipping on the oozing site and the exposed blood vessels with minimal clippings needed. High preventive effect against bleeding as well as reduction of treatment time was noted. Clipping-related complications were prevented as well. This is a simple and useful procedure based on the wound condition after polypectomy.
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© Japan Gastroenterological Endoscopy Society
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