The Effectiveness of an Exclusive Cold Snare Polypectomy Snare for the Removal of Diminutive Colorectal Polyps
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Showa Inan General Hospital
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Complete resection rate of colorectal polyps
Study Overview
Brief Summary
The use of an exclusive cold polypectomy snare enables a clean cut of diminutive colorectal polyps, resulting in an increase in the complete resection rate and a decrease in the adverse events.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 90 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with colorectal polyps up to 10 mm in diameter.
Exclusion Criteria
- •patients are less than 20 years old, pregnant, ASA class III and IV, allergic to propofol used or its components (soybeans or eggs), with poor bowel preparation, and with previous colorectal surgical resection.
Arms & Interventions
Exclusive cold polypectomy snare
All colorectal polyps up to 10 mm found except for tiny hyperplastic polyps in the rectum and distal sigmoid colon are removed using an exclusive cold polypectomy snare (Exacto cold snare). The technique is cold snare resection of the polyp without tenting without electrocautery and then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is not performed after cold snare polypectomy.
Intervention: exclusive cold polypectomy snare (Exacto cold snare, product number 00711115) (Device)
regular polypectomy snare
All colorectal polyps up to 10 mm found except for tiny hyperplastic polyps in the rectum and distal sigmoid colon are removed using a regular polypectomy snare. The technique is cold snare resection of the polyp without tenting without electrocautery and then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is not performed after cold snare polypectomy.
Intervention: Regular polypectomy snare (Snare Master, SD-210U-10) (Device)
Outcomes
Primary Outcomes
Complete resection rate of colorectal polyps
Time Frame: 2 weeks
The complete resection rate of colorectal polyps based on the pathological examination.
Secondary Outcomes
- Postpolypectomy bleeding(2 weeks)
Investigators
Akira Horiuchi
Chief, Digestive Disease Center
Showa Inan General Hospital