Reducing Post-Procedural Bleeding in EMR: Why Clip Choice Matters

  • Published: 10/10/2023
  • 4 min
  • Updated: 9/9/2025

When it comes to endoscopic mucosal resection (EMR), removing the polyp is only half the battle. Post-procedure bleeding remains one of the most common complications - often unpredictable, sometimes delayed, and always serious.

That’s why many physicians today are taking a more proactive approach to defect closure. In fact, a 2019 multi-center randomized trial found that proactive clip closure can more than halve the risk of post-procedure bleeding, from 7.1% to 3.5%, in resections of 20 mm or larger nonpedunculated colorectal polyps.1

But here’s the challenge: not all clips are created equally.

Introducing DuraClip™:
Precision You Can Feel

DuraClip™ is a repositionable hemostasis clip engineered for confidence in closure after deployment, especially in technically demanding procedures like EMR. In a setting where millimeters matter, precision isn’t a luxury - it’s requirement.

DuraClip™ is designed to help physicians place clips exactly where they need to, with a few key features they value:

duraclip hemostasis clip

True 1:1 rotation for precise directional control

A narrow distal thin clip arm that enhances visibility and access in tight spaces

A shorter clip stem, up to 60% shorter than comparable clips, that reduces obstruction of your field view1

"I use DuraClip™ for many reasons. Its ease of rotation is important, especially when performing closures. Also, at the end of a POEM or after an EMR, you’re using multiple clips to perform mucosa-to-mucosa closure. That can be cumbersome if you have a long stem clip blocking your field of vision. It’s very helpful when you have a short arm that does not block your view."

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Dr. Moamen Gabr

Director of Endoluminal Surgery at Beth Israel Deaconess Med Center

Repositionability That Boosts Confidence

How often have you partially deployed a clip, only to realize it’s slightly off?

Precision matters – especially when access is limited or the angle is challenging. DuraClip™ is engineered with unlimited open and close potential and a one-step deployment system, allowing for ease of use and improved placement. The combination of these features makes way for confident repositioning, knowing the clip will respond with 1-to-1 rotation and accuracy when it's time to deploy.

CONMED's Hemostasis Clips lined along competitor's Hemostasis Clips

Strong Compression, Smooth Deployment

Once you’re ready to deploy, DuraClip™’s ergonomic handle gives you a simple, controlled release, making it as easy to use as it is effective.

The smooth actuation of DuraClip™ makes it simple for the endoscopy staff to open and close the jaws as well as rotate the device for accurate placement. Grasp the tissue, slowly close the device and confirm placement before deploying. If the location of the clip is unsatisfactory you may reopen the jaws and reposition.

But its performance doesn’t end there. In recent bench testing, DuraClip™ showed a 46% greater compression force than the Boston Revolution 360™.2 That added strength provides a secure hold without increasing the size of the clip.

There’s often a perception that higher closure force requires a larger or bulkier clip, but that’s not the case here. DuraClip™ achieves a strong closure through its scissor-style open and close mechanism and thin leading arms, not added bulk.

"DuraClip™ is able to pass through a scope in full retroflexion. No other clip can do so”

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Dr. Andy Tau

Austin Gastroenterology

Built for the Way You Work

Post-procedural bleeding isn’t always predictable, but a reliable clip can make it more preventable.

Whether you’re managing a large mucosal defect or simply looking for added confidence in routine cases, DuraClip™ delivers the performance you need, right when it matters the most.

With DuraClip™, you get:

  • Precise positioning for confident, accurate closure
  • Shorter clip stem and thin distal arm for improved visibility
  • Repositionable functionality that reduces trial and error
  • Strong compression force to secure defects the first time2
  • Simple one-step deployment without further handle manipulation

Ready to Try DuraClip™?

Explore the DuraClip™ product page to discover how it can support your closure strategy.

Learn more about DuraClip™
Dr. Moamen Gabr

“Dr. Moamen Gabr is a board-certified gastroenterologist, recognized as a Fellow of the American Society for Gastrointestinal Endoscopy (ASGE) and an active member of both the American College of Gastroenterology (ACG) and the American Gastroenterological Association (AGA). Currently an Associate Professor of Medicine and the Director of the Advanced Interventional Endoscopy Fellowship Program at the University of Cincinnati, Dr. Gabr brings specialized expertise in minimally invasive endoscopic techniques that provide alternatives to traditional surgery for complex gastrointestinal conditions.”

Moamen Gabr. University Endoscopy Center. https://universityendoscopy.com/physician/moamen-gabr

Associate Division Director of Clinical - Division of Digestive Diseases

Moamen G. [moamengabr]. LinkedIn. https://www.linkedin.com/in/moamengabr/

Dr. Andy Tau

“Dr. Andy Tau is a board certified and fellowship trained gastroenterologist. Prior to joining Austin Gastroenterology, Dr. Tau graduated from Harvard University. He spent the next 11 years at Baylor College of Medicine in Houston, where he completed medical school (MD), internal medicine residency, and GI fellowship. He served both as chief resident in internal medicine and chief fellow in gastroenterology.”

Dr. Andy Tau | Gastroenterologist at Austin Gastro | Central TX. Austin Gastrontology. https://www.austingastro.com/our-providers/our-physicians/jianhua-andy-tau/

1 Pohl H, Grimm IS, Moyer MT, Hasan MK, Pleskow D, Elmunzer BJ, Khashab MA, Sanaei O, Al-Kawas FH, Gordon SR, Mathew A, Levenick JM, Aslanian HR, Antaki F, von Renteln D, Crockett SD, Rastogi A, Gill JA, Law RJ, Elias PA, Pellise M, Wallace MB, Mackenzie TA, Rex DK. Clip Closure Prevents Bleeding After Endoscopic Resection of Large Colon Polyps in a Randomized Trial. Gastroenterology. 2019 Oct;157(4):977-984.e3. doi: 10.1053/j.gastro.2019.03.019. Epub 2019 Mar 15. PMID: 30885778; PMCID: PMC8224988.
2 Data on file comparing DuraClipTM 11mm to Boston Revolution 360TM: PDD2324060.