Comparison of Hot Snare Polypectomy Using Regular or Rotary Polypectomy Snare for the Resection of Colorectal Polyps: a Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- the average time of each polyp removing
研究概览
简要总结
This clinical trial is being conducted to assess whether the rotary polypectomy snare could decrease the time to removal of colorectal polyps
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18-85 year;
- •Patients with colorectal polyps ;
- •informed consent;
排除标准
- •patients taking antiplatelet or anticoagulant therapy during the past 1 week of the procedure;
- •known coagulopathy;
- •history of inflammatory bowel diseases;
- •Hemodynamically unstable;
研究组 & 干预措施
rotary polypectomy snare
All colorectal polyps found are removed using a rotary polypectomy snare (Disposable Polypectomy Snare). The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the direction of the snare by rotating the handle as required, rotate the loop until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then inhaling the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is used after hot snare polypectomy if removing a flat polyp or bleeding on the wound after treatment.
干预措施: Disposable Polypectomy Snare,JHY-SD-23-230-30-A1 (Device)
regular polypectomy snare
All colorectal polyps found are removed using a regular polypectomy snare (polypectomy snare, symmetrical). The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the bending section angulation of the colonoscopy as required, advance the snare until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is performed after hot snare polypectomy if a flat polyp or bleeding on the wound after treatment.
结局指标
主要结局
the average time of each polyp removing
时间窗: 1day
Using a stopwatch to record the removing time of each polyp (starting the stopwatch when the snare stretched out of the pipe and ending with the polyp being completely removed); Furthermore, we excluded the time of submucosal injection, electrocoagulation, and the use of preventive titanium clips
次要结局
- Postpolypectomy bleeding(2 weeks)
