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临床试验/NCT06435377
NCT06435377尚未招募不适用

Prospective Observational Study APC AND BIOPSY POST COLD-EMR IN COLONIC LESIONS

Istituto Clinico Humanitas1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2024年7月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
60
试验地点
1
主要终点
Residual

研究概览

简要总结

This prospective observational study aims to evaluate the efficacy, safety and recurrence of cold-snaring for large colonic lesions combined with argon plasma coagulation of the resection bed.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • All patients aged ≧ 18 years undergoing colonoscopy for any indication (screening, anemia, surveillance, or scheduled to undergo endoscopic mucosal resection)
  • Lesions of 20 mm and larger.
  • All colonic lesions removed using COLD-EMR technique, presenting both adenomatous (Kudo IIIL/IIIS pit pattern)
  • Patients who were able to provide written informed consent

排除标准

  • Suspected lesions for submucosal invasion (e.g., Kudo V or Paris 0-IIa-IIc with non-granular surface)
  • Lesions with a wide Paris 0-Is component (>10mm) that could increase the risk of submucosal invasion and could limit the mechanical cutting of the snare
  • Pedunculated polyps
  • Active/quiescent colitis
  • Rectal lesions
  • Residual or recurrent adenoma after endoscopic mucosal resection

结局指标

主要结局

Residual

时间窗: 1 day

Evaluation of residual in the biopsy of the defect after the cold-EMR. The specimen will be evaluated independently from the polyp sample.

Recurrence

时间窗: 1 year

The recurrence rate of adenomas at the site of any qualifying, previously resected lesions is measured after 3-6 and 12 months.

次要结局

  • perforation(1 day)
  • Efficacy of procedure(1 day)
  • Rate of delayed bleeding of the patient(1 day)
  • Time(1 day)
  • Rate of post-polipectomy syndrome(1 day)

研究者

发起方
Istituto Clinico Humanitas
申办方类型
Other
责任方
Sponsor

研究点 (1)

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