Utility of prophylactic clipping after colorectal cold snare polypectomy in patients on oral antithrombotic agents.

Abstract

BACKGROUND AND AIMS:

There is no consensus on the effectiveness of prophylactic clipping after colonic cold snare polypectomy (CSP). This study aimed to evaluate the utility of prophylactic clipping in preventing delayed bleeding (DB) after colorectal CSP in patients on antithrombotic agents.

METHODS:

We retrospectively recruited consecutive patients on antithrombotic agents who underwent colorectal CSP in Chiba University Hospital. The DB rate was compared between patients with and without prophylactic clipping.

RESULTS:

The study included 133 patients (422 polyps) requiring prophylactic clipping and 85 patients (282 polyps) not requiring prophylactic clipping. There were no significant differences in DB and hematochezia rates between the groups. By weighted logistic regression analysis, the odds ratio of hematochezia was 0.557 (95% confidence interval, 0.225-1.378; P = .205) in patients without clipping compared to those with clipping.

CONCLUSIONS:

Prophylactic clipping may not be necessary to prevent DB after colorectal CSP in patients on antithrombotic agents.

• Authors: Naoki Akizue, Kenichiro Okimoto, Tomoaki Matsumura, Keisuke Matsusaka, Yosuke Inaba, Ryosuke Horio, Satsuki Takahashi, Chihiro Goto, Akane Kurosugi, Michiko Sonoda, Tatsuya Kaneko, Yuki Ohta, Takashi Taida, Jun Kato, Jun-Ichiro Ikeda, Naoya Kato
• Journal: Gastrointestinal endoscopy (Gastrointest Endosc) Vol. 99 Issue 5 Pg. 826-829.e3 (May 2024) ISSN: 1097-6779 [Electronic] United States
• PMID: 38224820 (Publication Type: Journal Article)
• Copyright: Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.