10-14mm flat and sessile colorectal adenomas
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Flat and sessile adenomas (10-14 mm in size) 2. 20 years old and more 3. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Synchronous colorectal cancer requiring surgery 2. Inflammatory bowel disease or familial adenomatous polyposis patients 3. Blood coagulation disorder 4. Infectious disease with systemic therapy indicated 5. Hemodialysis 6. Impossible to suspend anticoagulant or antiplatelet medications 7. Others
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| En-bloc complete resection rate by histological examination | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Rate of immediate bleeding requiring endoscopic hemostasis 2. Rate of delayed adverse events (perforation, bleeding) 3. Rate of impossible resection 4. En-bloc complete resection rate by endoscopic examination 5. Rate of white protrusions within the cold snare defect 6. Rate of resected specimens containing submucosal layer | — |
Countries
Japan
Contacts
Shizuoka Cancer Center Division of Endoscopy