Hemoclip Application & Polypectomy

What is Hemoclip Application & Polypectomy?

Hemoclip application and polypectomy are endoscopic procedures used to manage gastrointestinal bleeding and remove polyps from the digestive tract. These techniques are essential tools in therapeutic endoscopy.

Hemoclip Application

• Stop active bleeding

• Prevent delayed bleeding after procedures

• Close mucosal defects

Research shows that prophylactic endoscopic clip closure reduces the risk of delayed bleeding after endoscopic mucosal resection of large nonpedunculated colorectal polyps in the right colon

Polypectomy Techniques

• Cold Snare Polypectomy (CSP):

• Recommended for diminutive polyps ≤5mm

• Should include 1-2mm margin of normal tissue

• Effective for polyps 6-9mm in size

• Hot Snare Polypectomy:

• Used for nonpedunculated adenomatous polyps 10-19mm

• Involves electrical current for cutting and coagulation

• Endoscopic Mucosal Resection (EMR):

• Standard approach for large polyps ≥20mm

• Can be performed underwater as alternative technique

Post-Procedure Care

• Monitoring for complications

• Assessment of bleeding risk

• Follow-up colonoscopy as needed

• Patient education about warning signs

Success Rates and Outcomes

• High success rates for complete polyp removal

• Reduced need for surgical intervention

• Lower complication rates compared to surgery

• Cost-effective treatment option

Potential Complications

• Bleeding

• Perforation

• Post-polypectomy syndrome

• Incomplete resection