Polyp of Large Intestine
Conditions
Brief summary
The purpose of this study is to compare cold snare polypectomy and cold forceps polypectomy using narrow-band imaging endoscopy for removal of diminutive colorectal polyps.
Detailed description
Previous study found Cold snare polypectomy a preferable technique in comparison to cold biopsy for diminutive polyps when assessed for completeness of resection. However, it is expected that cold biopsy polypectomy with advanced endoscopy, such as chromoendoscopy or narrow-band imaging endoscopy, increase completeness of resection. One study showed 90% of the diminutive polyps were completely resected using cold biopsy polypectomy with chromoendoscopy. However, no study compared cold snare polypectomy and cold biopsy polypectomy using Narrow-band Imaging endoscopy for Removal of Diminutive Colorectal Polyps. The aim of this study is to compare cold snare polypectomy and Cold biopsy Polypectomy Using Narrow-band Imaging Endoscopy for Removal of Diminutive Colorectal Polyps
Interventions
removal of eligible polyps using cold biopsy technique until no polyp was visible by narrow-band imaging endoscopy
removal of eligible polyps using cold snare polypectomy technique
Sponsors
Study design
Eligibility
Inclusion criteria
* patients over the age of 20 years undergoing routine colonoscopy (screening, surveillance, or diagnostic)
Exclusion criteria
* patients taking antiplatelet or anticoagulant therapy during the past 1 week of the procedure * known coagulopathy * history of inflammatory bowel diseases * American Society of Anesthesiology class III or more * pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| complete histologic polyp eradication rate | 2 weeks |
Secondary
| Measure | Time frame |
|---|---|
| rates of tissue retrieval per polyp | 2 weeks |
Other
| Measure | Time frame |
|---|---|
| polypectomy procedure times | 2 weeks |
Countries
South Korea