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Expanded Indication: Prophylactic Clipping

The Resolution™ Clip and Resolution 360™ Clip are currently the only hemostasis clips in the US indicated for prophylactic clipping to reduce the risk of delayed bleeding post lesion resection. This expanded indication may further increase the options available for patients.

The Resolution Portfolio of Clips are also indicated for endoscopic marking, closure of GI tract luminal perforations, and anchoring to affix jejunal feeding tubes.*

A retrospective study found that prophylactic clipping of large polypectomy induced ulcers may:

  • reduce delayed bleeds by more than 80%1
  • reduce unnecessary costs by helping patients avoid hospitalization, blood transfusions, repeat colonoscopies and surgical procedures1

Therefore, the Resolution Portfolio of Clips may yield significant benefits for patients, physicians and hospitals.

Case Studies

Prophylactic Application of Resolution Clips after Gastric Polypectomy in Patient on Anticoagulation

“Placement of the clips was easily accomplished, even in what is considered a difficult location in the cardia working in the retroflex view. Coumadin was restarted the day of the procedure and the patient had no further episodes of bleeding after the procedure.”

Peter V. Draganov, MD
Gainesville, FL

Read full case study 

Prophylactic Clipping to Manage Potential Post-polypectomy Bleeding for Patients Using Antiplatelet Agents

“No post-polypectomy bleeding was encountered. On one week follow-up, the patient reported feeling well with no melena or hematochezia.”

Arthur Yan, M.D.
Exeter, NH

Read full case study

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Click here for Resolution 360™ Clip
 
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Clinical Evidence

“In a retrospective study, clipping polypectomy sites closed after endoscopic resection of large sessile and flat colorectal lesions was associated with a reduced incidence of delayed postpolypectomy bleeding.”1

“The delayed hemorrhage rate was 9.7% in the not clipped group versus 1.8% in the fully clipped group.”1

“Polyps that were not clipped were 4.4 times more likely to have any complications (1.8, 10.9; P = .001) compared with polyps that were completely clipped.”1

“[A]voidance of unnecessary surgical resection of endoscopically removable polyps is another potential cost-savings associated with prophylactic clip closure of large polyp sites, if the availability of clip closure increases rates of endoscopic resection because of decreased fear of complications.”1

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