Colorectal neoplasms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) colorectal adenoma or adenocarcinoma 2-5cm in size scheduled for ESD 2) age20 years old or more 3) PS 0-1 4) obtained written informed consent
Exclusion criteria
Exclusion criteria: 1) high risk of post-ESD bleeding a) Plt less than 50000/mm3 or PT-INR 2 or more b) Liver chirrosis Child Pugh score B-C c) chronic kidney disease needed hemodyalysis 2) unable to discontinue antithrombotic drug according to Japanese guidelines 3) prior abdominal or pelvic surgery 4) prior radiotherapy for abdomen or pelvis 5) thought ineligible by attending endoscopist 4)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| successful closure rate | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sustained closure rate post 3-4 days after ESD (only rectum and sigmoid colon) 2. Post-ESD bleeding rate 3. Perforation rate 4. other complication rate 5. procedure time for closure | — |
Countries
Japan
Contacts
National Cancer Center Hospital Endoscopy Division