AGA Family of Websites:
AGA Journals
AGA Journals
AGA University
AGA University
AGA University
AGA Research Foundation
AGA University
AGA Community
AGA University
AGA Job Board
December 4, 2019

To clip or not to clip after polypectomy

Experts debate the usefulness and efficiency of using clips during a colonoscopy.
Share on facebook
Share on twitter
Share on linkedin
Share on email

Men and women are encouraged to get a colonoscopy at age 50 to help prevent colorectal cancer — age 45 for some groups. The procedure involves the endoscopic resection of pre-cancerous polyps but is associated with a risk of serious adverse events, including bleeding.

Prophylactic clips can be placed during the procedure itself to prevent bleeding following polypectomy.

Fadi Antaki, MD, AGAF, argues that prophylactic clips should be used for selected polyps as it will reduce this risk and add a level of safety to the intervention.

Rajesh N. Keswani, MD, MS, makes the case that outside of a narrow subgroup, we cannot confidently say that endoscopic clips are effective as it increases procedure time and costs, and is reliant upon the individual skill of each endoscopist using clips.

Review this debate and other expert discourse in AGA Perspectives.

Discussion Icon

Discuss this news

Share this article in the AGA Community, your member-only platform for sharing your thoughts and ideas with your colleagues.

Not a member? Join AGA.

By using this site, you agree to our updated Privacy Policy.