Su1334 Does Urgency Categorisation (Triaging) Prevent Delayed Diagnoses and Treatment of Significant Gastric and Colonic Disease

and technique of polyp removal). The primary outcome was delayed postpolypectomy bleeding (within 30 days of polypectomy). Results: We identified 102 patients (mean age 62.4 years) who had prophylactic clipping of polypectomy sites. These 102 patients had hemoclips placed on a total of 127 polyps (48% tubular adenomas, 11% hyperplastic, 7% sessile serrated adenomas, 28% advanced adenomas or cancers, 6% other or not retrieved). The average polyp size was 12.9 mm, 68% were sessile, and 91% were removed with hot snare. We identified 689 total control patients who had polypectomy without hemoclipping, and matched the 102 patients in the study cohort to 102 control patients. After matching, there were no significant differences between the hemoclip group and the control group in age, frequency of co-morbidities (including coronary artery disease, lung disease, diabetes, and renal disease), or polyp characteristics. There was 1 delayed post-polypectomy bleed in the 102 patients that had prophylactic hemoclipping (0.98%), and 1 delayed postpolypectomy bleed in the 102 matched control patients (0.98%, p 1.0). Conclusion: We found no significant difference in the low rate of delayed postpolypectomy bleeding between patients who had prophylactic hemoclipping of polypectomy sites and a well-matched control group of patients who had polypectomy without prophylactic clipping. Although our study is limited by its small size and retrospective nature, these data call into question the expensive practice of prophylactic hemoclipping.