Farzan F. Bahin et al. Prophylactic clipping for the prevention of bleeding following wide-field endoscopic mucosal resection of laterally spreading colorectal lesions: an economic modeling study
The authors of the Australian Colonic Endoscopic Mucosal Resection Study performed an economic assessment regarding the cost-effectiveness of clip closure of the mucosal defect after resection of nonpedunculated polyps ≥ 20 mm. Even when considering a high efficacy to prevent bleeding, the cost of clips would make prophylactic application prohibitive. Varying the number of clips applied across reasonable assumptions also did not change the results. In the applied model, a clip price of € 10 or less would make this practice cost-effective.
