Comparison of Using Regular or Rotary Polypectomy Snare for the Resection of Colorectal Polyps
Comparison of Hot Snare Polypectomy Using Regular or Rotary Polypectomy Snare for the Resection of Colorectal Polyps: a Prospective Randomized Controlled Trial
1 other identifier
interventional
200
1 country
1
Brief Summary
This clinical trial is being conducted to assess whether the rotary polypectomy snare could decrease the time to removal of colorectal polyps
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2018
Shorter than P25 for not_applicable
1 active site
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
July 12, 2018
CompletedFirst Posted
Study publicly available on registry
August 1, 2018
CompletedStudy Start
First participant enrolled
August 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 2, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2018
CompletedJuly 2, 2019
July 1, 2018
1 day
July 12, 2018
June 30, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
the average time of each polyp removing
Using a stopwatch to record the removing time of each polyp (starting the stopwatch when the snare stretched out of the pipe and ending with the polyp being completely removed); Furthermore, we excluded the time of submucosal injection, electrocoagulation, and the use of preventive titanium clips
1day
Secondary Outcomes (1)
Postpolypectomy bleeding
2 weeks
Other Outcomes (1)
The procedure time
1day
Study Arms (2)
rotary polypectomy snare
EXPERIMENTALAll colorectal polyps found are removed using a rotary polypectomy snare (Disposable Polypectomy Snare). The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the direction of the snare by rotating the handle as required, rotate the loop until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then inhaling the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is used after hot snare polypectomy if removing a flat polyp or bleeding on the wound after treatment.
regular polypectomy snare
NO INTERVENTIONAll colorectal polyps found are removed using a regular polypectomy snare (polypectomy snare, symmetrical). The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the bending section angulation of the colonoscopy as required, advance the snare until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is performed after hot snare polypectomy if a flat polyp or bleeding on the wound after treatment.
Interventions
The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the direction of the snare by rotating the handle as required, rotate the loop until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then inhaling the transected polyp into a trap followed by submission to the histological evaluation.
Eligibility Criteria
You may qualify if:
- year;
- Patients with colorectal polyps ;
- informed consent;
You may not qualify if:
- patients taking antiplatelet or anticoagulant therapy during the past 1 week of the procedure;
- known coagulopathy;
- history of inflammatory bowel diseases;
- Hemodynamically unstable;
- pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ningbo NO.1 hospital
Ningbo, Zhejiang, 315010, China
Study Officials
- PRINCIPAL INVESTIGATOR
Lei XU, PHD
Department of Gastroenterology, Ningbo No. 1 Hospital, Ningbo, China
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 12, 2018
First Posted
August 1, 2018
Study Start
August 1, 2018
Primary Completion
August 2, 2018
Study Completion
September 30, 2018
Last Updated
July 2, 2019
Record last verified: 2018-07