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Randomised Comparison of 2 Cold Snare Polypectomy Techniques

NHS Foundation Trust logo

NHS Foundation Trust

Status

Completed

Conditions

Bowel Cancer

Treatments

Procedure: Cold snare polypectomy with suction
Procedure: conventional cold snare polypectomy

Study type

Interventional

Funder types

Other

Identifiers

NCT02208401
STH17227

Details and patient eligibility

About

Different modalities are employed to remove small colonic polyps which potentially harbour a cancer risk. But, they can all vary in their completeness of removal, safety and the histological quality and the gold standard technique has yet to be defined. A novel suction pseudopolyp technique has been described by Patullo et al and in their prospective study, 126 polyps measuring less than 10mm flat or sessile were removed by this method with 100% complete endoscopic resection and without any immediate or delayed complications. The aim of the investigators study is to compare this technique with the standard cold snare technique. Patients attending for a routine colonoscopy and found to have polyps measuring 37mm in size will be eligible and they will be randomised to the polypectomy technique. Patient demographics and polyp characteristics will be recorded. The primary outcome measured will be the macroscopic resection rate. The secondary outcome measures are abdominal pain, tenderness, bleeding and fever.

Enrollment

112 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • All patients with small polyps 3-7 mm in size, flat or sessile found during colonoscopy

Exclusion criteria

  • Patients are less than 18 years old
  • Pregnant
  • Inadequate bowel preparation
  • On anticoagulants or clopidogrel

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

112 participants in 2 patient groups

conventional cold snare polypectomy
Active Comparator group
Description:
conventional cold snare polypectomy
Treatment:
Procedure: conventional cold snare polypectomy
Cold snare polypectomy with suction
Experimental group
Description:
Cold snare polypectomy with suction
Treatment:
Procedure: Cold snare polypectomy with suction

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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