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Compare Bleeding Risk Between Cold and Hot Snaring Polypectomy for Small Colorectal Polyp: a Randomized Control Trial

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National Taiwan University

Status

Completed

Conditions

Colorectal Polyp

Treatments

Device: Polypectomy

Study type

Interventional

Funder types

Other

Identifiers

NCT03373136
201707022RINB

Details and patient eligibility

About

In this randomized control trial the investigators aim to compare the bleeding complication between cold snaring and hot snaring polypectomy with a large sample size.

Full description

The investigators will enroll subjects who receive screening or surveillance colonoscopy with small colorectal polyp, 4 to10 mm in size, from multiple centers in Taiwan. Subjects who are less than 40 years old and has contraindication will be excluded from this study. All the candidates for enrollment will sign the inform consent at the outpatient clinic. Once the candidate has the target lesion, polyp sized 4 to 10 mm, at colonoscopy will be randomized into either cold snaring or hot snaring polypectomy group. In the group with cold snaring, polypectomy will be done without electrocautery. In the hot snaring group, the polypectomy will be performed with electrocautery. The bowel preparation and colonoscopy insertion are the same in both groups as conventional colonoscopy method. The colonoscopy will be performed by experienced endoscopies who performed more than 100 polypectomies per year.

Enrollment

4,270 patients

Sex

All

Ages

40+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Candidate has the target lesion, polyp sized 4 to 10 mm, at colonoscopy

Exclusion criteria

  • Subjects who are less than 40 years old and has contraindication will be excluded from this study

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

4,270 participants in 2 patient groups

Cold snaring
Experimental group
Description:
Polypectomy will be done without electrocautery
Treatment:
Device: Polypectomy
Hot snaring
Active Comparator group
Description:
Polypectomy will be performed with electrocautery
Treatment:
Device: Polypectomy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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