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EndoClot for Preventing Rebleeding After Endoscopic Mucosal Resection (EMR)

EndoClotTM Absorbable Polysaccharide Hemostat for Preventing Rbleeding After Endoscopic Mucosal Resection (EMR)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01735786
Enrollment
164
Registered
2012-11-28
Start date
2010-04-30
Completion date
2012-03-31
Last updated
2012-11-28

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

Conditions

Colonic Polyps, Endoscopic Hemostasis

Keywords

Endoscopic Hemostasis, EndoClot Absorbable Polysaccharide Hemostat, Colonic Polyps

Brief summary

Endoscopic mucosal resection (EMR) has been widely used as a diagnostic and treatment techniques of gastrointestinal small lesions. Postoperative rebleeding is one of the common complication following EMR. Several endoscopic hemostasis methods are currently in use. EndoClot® absorbable polysaccharide hemostat (PAPH) as a new hemostasis material was previously used for surgical hemostasis, but the therapeutic effect and safety in endoscopic application remains unknown. This study has been designed to observe the effect of rebleeding prevention after EMR.

Interventions

DEVICEEndoClot

EndoClot hemostat is applied immediately after EMR to achieve hemostasis.

Sponsors

Xijing Hospital of Digestive Diseases
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* consecutive cases of colorectal polyps and submucosal lesions with anticipated complete removal endoscopically by EMR.

Exclusion criteria

* severe cardiovascular diseases, liver and kidney dysfunction; * platelet and coagulation dysfunction (PLT \< 50\*109/L, INR \> 2); * cases that have taken anticoagulant drugs or non-steroidal anti-inflammatory drugs within 1 month before the procedure; * cases unavailable for follow-up.

Design outcomes

Primary

MeasureTime frameDescription
Rebleeding rate after EMR procedureup to 1 weekRebleeding rate up to 1 week was obtained by clinical manifestations such as melana; decreased hemoglobin \> 20g/L; hemodynamic instability or active bleeding from mucosal defect under endoscope.

Secondary

MeasureTime frameDescription
Mucosal healing after EMRup to 1 monthColonoscopy will be repeated 1 month after EMR procedure to observe if application of Endoclot will delay the musosal healing.
gastrointestinal tract obstructionup to 1 monthGastrointestinal tract obstruction has been previously reported as a possible adverse effect of hemostats, therefore it was observed in the current study.

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026