Objective:Alimentary tract hemorrhage is the most frequent complication after colonoscopic polypectomy. The aim of this study was to identify the risk factors for postpolypectomy bleeding(PPB)after endoscopic mucosal resection(EMR). Methods:We retrospectively reviewed the clinical data of 111 patients who experienced PPB after EMR and 176 patients who did not. Results:Univariate logistic regression analysis showed that gender(male,P=0.008),numbers of polyps removed(≥3 polyps,P=0.001),polyp’ diameter(≥10 mm,P < 0.001),location(right colon,P=0.036),use of antithrombotic drug(P=0.015)were significantly correlated with PPB. Above factors,hypertension(P < 0.1)and pathological type(adenoma,P < 0.1)were analyzed by multivariate logistic regression,and only gender(male),polyps’ diameter(≥10 mm)and numbers of polyps removed(≥3 polyps)were significantly associated with PPB after EMR. Conclusion:Gender(male),polyps’ diameter(≥10 mm)and polyp number(≥3 polyps)are significantly associated with PPB after EMR,and we should pay more attention to these factors for preventing PPB