Cold Snare Polypectomy Vs. Cold Forceps Polypectomy Using Narrow-band Imaging Endoscopy for Removal of Diminutive Colorectal Polyps

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

146 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2014-11-30

Brief Summary

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The purpose of this study is to compare cold snare polypectomy and cold forceps polypectomy using narrow-band imaging endoscopy for removal of diminutive colorectal polyps.

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Detailed Description

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Previous study found Cold snare polypectomy a preferable technique in comparison to cold biopsy for diminutive polyps when assessed for completeness of resection. However, it is expected that cold biopsy polypectomy with advanced endoscopy, such as chromoendoscopy or narrow-band imaging endoscopy, increase completeness of resection. One study showed 90% of the diminutive polyps were completely resected using cold biopsy polypectomy with chromoendoscopy. However, no study compared cold snare polypectomy and cold biopsy polypectomy using Narrow-band Imaging endoscopy for Removal of Diminutive Colorectal Polyps.

The aim of this study is to compare cold snare polypectomy and Cold biopsy Polypectomy Using Narrow-band Imaging Endoscopy for Removal of Diminutive Colorectal Polyps

Conditions

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Polyp of Large Intestine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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cold biopsy polypectomy

Group Type EXPERIMENTAL

Cold biopsy polypectomy

Intervention Type PROCEDURE

removal of eligible polyps using cold biopsy technique until no polyp was visible by narrow-band imaging endoscopy

Cold biopsy polypectomy

Intervention Type DEVICE

standard- capacity forceps with narrow band imaging endoscopy

Cold snare polypectomy

Group Type EXPERIMENTAL

Cold snare polypectomy

Intervention Type PROCEDURE

removal of eligible polyps using cold snare polypectomy technique

Cold snare polypectomy

Intervention Type DEVICE

mini (10 mm open diameter) size electrosurgical snare without application of electrocautery

Interventions

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Cold biopsy polypectomy

removal of eligible polyps using cold biopsy technique until no polyp was visible by narrow-band imaging endoscopy

Intervention Type PROCEDURE

Cold snare polypectomy

removal of eligible polyps using cold snare polypectomy technique

Intervention Type PROCEDURE

Cold snare polypectomy

mini (10 mm open diameter) size electrosurgical snare without application of electrocautery

Intervention Type DEVICE

Cold biopsy polypectomy

standard- capacity forceps with narrow band imaging endoscopy

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients over the age of 20 years undergoing routine colonoscopy (screening, surveillance, or diagnostic)

Exclusion Criteria

* patients taking antiplatelet or anticoagulant therapy during the past 1 week of the procedure
* known coagulopathy
* history of inflammatory bowel diseases
* American Society of Anesthesiology class III or more
* pregnancy.

Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes