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Endoscopic hand-suturing (EHS) for mucosal defects after colorectal endoscopic submucosal dissection

Endoscopic hand-suturing (EHS) using a newly designed through the scope needle holder for mucosal defects after colorectal endoscopic submucosal dissection : a multicenter study - Endoscopic hand-suturing (EHS) using a newly designed through the scope needle holder for mucosal defects after colorectal endoscopic submucosal dissection : a multicenter study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000047703
Enrollment
23
Registered
2022-05-15
Start date
2022-05-10
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

rectal cancer and sigmoid colon cancer

Interventions

Sponsors

National Cancer Center Hospital
Lead Sponsor
Shizuoka Cancer Center
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Patient has a preoperative diagnosis of early-stage rectal cancer or sigmoid colon cancer (including suspected cancer) measuring 2-5 cm 2) Scheduled to undergo ESD 3) At least 20 years old 4) PS 0-1 5) Informed consent has been obtained.

Exclusion criteria

Exclusion criteria: 1) Patients with a bleeding tendency (specifically if the following applies). *Platelet count less than 50,000/mm3 or PT-INR 2 or higher under non-compliance with anticoagulants. *Liver cirrhosis, Child-Pugh score B-C. *Chronic renal failure needs dialysis. 2) Patients who are unable to withdraw antithrombotic medications based on the guidelines. 3) Post-ESD mucosal defects overlying the anal verge. 4) History of abdominal or pelvic surgical resection. 5) History of radiation to the abdominal or pelvic region. 6) Patients whose attending physician determines that participation in this study is inappropriate.

Design outcomes

Primary

MeasureTime frame
Suture retention on postoperative days 3-4. Suture time with a modified flexible needle holder.

Countries

Japan

Contacts

Public ContactTakeshi Uozumi

National Cancer Center Hospital Endoscopy Division

tuozumi@ncc.go.jp0335422511

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026