Adenoma Detection by Polypectomy During Both Insertion and Withdrawal
Comparison of Adenoma Detection by Polypectomy During Both Insertion and Withdrawal Versus Only Withdrawal of Colonoscopy: a Randomized, Controlled Trial
1 other identifier
interventional
1,142
0 countries
N/A
Brief Summary
Standard method of colonoscopy is to insert the colonoscope rapidly to reach the cecum, with careful inspection and polypectomy during the withdrawal phase. However, small polyps (e.g. \<1cm) seen during insertion phase are difficult to find during withdrawal phase. Also, colon is in different conformation during insertion and withdrawal phases. We think careful inspection and polypectomy during both insertion and withdrawal can improve adenoma detection rate.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2013
Longer than P75 for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 16, 2013
CompletedFirst Posted
Study publicly available on registry
August 20, 2013
CompletedStudy Start
First participant enrolled
September 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedFebruary 12, 2019
February 1, 2019
2.8 years
August 16, 2013
February 9, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Adenoma detection rate
4 weeks
Secondary Outcomes (1)
Number of adenoma per patient
4 weeks
Other Outcomes (1)
Polyp miss rate
4 weeks
Study Arms (2)
Both insertion and withdrawal
EXPERIMENTALOnly withdrawal
ACTIVE COMPARATORInterventions
inspection and polypectomy during both insertion and withdrawal of colonoscopy
inspection and polypectomy during only withdrawal of colonoscopy
Eligibility Criteria
You may qualify if:
- Patient undergoing screening or surveillance colonoscopy
You may not qualify if:
- Previous colorectal resection, Polyposis syndrome, Inflammatory bowel disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Gweon TG, Lee SW, Ji JS, Lee JR, Kim JS, Kim BW, Choi H. Comparison of adenoma detection by colonoscopy between polypectomy performed during both insertion and withdrawal versus during withdrawal only: a multicenter, randomized, controlled trial. Surg Endosc. 2020 Dec;34(12):5461-5468. doi: 10.1007/s00464-019-07342-4. Epub 2020 Jan 17.
PMID: 31953727DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
August 16, 2013
First Posted
August 20, 2013
Study Start
September 1, 2013
Primary Completion
July 1, 2016
Study Completion
December 1, 2016
Last Updated
February 12, 2019
Record last verified: 2019-02