EFficacy of Prophylactic Clip Application in Decrease of Immediate Postpolypectomy Bleeding and Delayed Postpolypectomy Bleeding After Colonoscopic Removal for a Large Pedunculated Polyps
Does a Prophylactic Clip Application Decrease IPPB(Immediate Postpolypectomy Bleeding) and DPPB(Delayed Postpolypectomy Bleeding) After Colonoscopic Removal for a Large Pedunculated Polyps (>1cm)?
1 other identifier
interventional
137
1 country
1
Brief Summary
The aim of this study is to evaluate the efficacy of prophylactic clip application after colonoscopic removal for a large pedunculated polyp (\> 1cm) in preventing immediate postpolypectomy bleeding (IPPB) and delayed postpolypectomy bleeding (DPPB).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2011
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
September 19, 2011
CompletedFirst Posted
Study publicly available on registry
September 21, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2015
CompletedFebruary 26, 2020
February 1, 2020
3.7 years
September 19, 2011
February 24, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
the occurrence of immediate post-polypectomy bleeding
At 1 day after endoscopic polypectomy, CBC will be done.
1 day
the occurrence of delayed post-polypectomy bleeding
At 2 weeks after endoscopic polypectomy, history of hematochezia will be taken at outpatient clinic.
2 weeks
Study Arms (2)
endoclip
EXPERIMENTALThe group of patients who undergo prophylactic clip application after colonoscopic polypectomy of a large pedunculated polyp(\>1cm).
no endoclip
NO INTERVENTIONThe group of patients who do not undergo prophylactic clip application after colonoscopic polypectomy of a large pedunculated polyp(\>1cm).
Interventions
prophylactic clip application after colonoscopic polypectomy
Eligibility Criteria
You may qualify if:
- Patients who have a large pedunculated polyp(\>1cm) in the colon
You may not qualify if:
- Age under 20 years
- Subjects who are taking anticoagulants
- Subjects who have an abnormal coagulogram (platelet count, international normalized ratio, or activated partial thromboplastin time)
- Subjects who have inflammatory bowel diseases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Asan Medical Center
Seoul, South Korea
Related Publications (2)
Shioji K, Suzuki Y, Kobayashi M, Nakamura A, Azumaya M, Takeuchi M, Baba Y, Honma T, Narisawa R. Prophylactic clip application does not decrease delayed bleeding after colonoscopic polypectomy. Gastrointest Endosc. 2003 May;57(6):691-4. doi: 10.1067/mge.2003.193.
PMID: 12709699BACKGROUNDSoh JS, Seo M, Kim KJ. Prophylactic clip application for large pedunculated polyps before snare polypectomy may decrease immediate postpolypectomy bleeding. BMC Gastroenterol. 2020 Mar 12;20(1):68. doi: 10.1186/s12876-020-01210-5.
PMID: 32164613DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kyung-Jo Kim, M.D.
Asan Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Associate Professor
Study Record Dates
First Submitted
September 19, 2011
First Posted
September 21, 2011
Study Start
September 1, 2011
Primary Completion
April 30, 2015
Study Completion
April 30, 2015
Last Updated
February 26, 2020
Record last verified: 2020-02