Colorectal adenoma, early colorectal cancer, or lesions suspected of early colorectal cancer indicated for endoscopic submucosal dissection (ESD)
Conditions
Interventions
Colorectal endoscopic submucosal dissection performed using Flow-Assisted Coagulation (FAC) and HYBRIDknifeflex under a gas-free immersion system
Sponsors
Suzuka General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients who provide written informed consent. 2. Patients aged 20 to 100 years. 3. Patients with colorectal adenoma, early colorectal cancer, or lesions suspected of early colorectal cancer that are indicated for endoscopic submucosal dissection (ESD). 4. Patients scheduled to undergo inpatient colorectal ESD.
Exclusion criteria
Exclusion criteria: 1. Patients for whom surgical resection is considered more appropriate. 2. Patients with severe coagulation disorders. 3. Pregnant women or women who may be pregnant. 4. Patients with poor general condition that makes endoscopic treatment unsafe. 5. Patients judged unsuitable for study participation by the investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| * Dissection speed | — |
Secondary
| Measure | Time frame |
|---|---|
| * Bleeding duration * Complete en bloc resection rate * Total procedure time * Cumulative bleeding time * Number of FAC procedures * FAC-only hemostasis success rate * Number of hemostatic forceps uses * Number of device exchanges to hemostatic forceps * Resection time * CO2 usage time * Saline consumption * Safety outcomes | — |
Countries
Japan
Contacts
Public ContactTatsuma Nomura
Suzuka General Hospital Department of Gastroenterology
Outcome results
None listed