Polypectomy
Conditions
Brief summary
Colonoscopy has been shown to reduce the incidence and mortality of colorectal cancer, through the recognition and removal of pre-cancerous lesions, which in most cases evolve with a sequence that goes through formation of high-grade dysplasia (HGD). The probability of HGD increases with the increase of the lesion of the polyp itself. Lesions\> 2 cm are present in 1% of colonoscopy screening. The resection of these lesions presents a greater technical difficulty and consequently a decrease in the efficiency. The rate of incomplete resection reported in the literature reaches 10% while that of recurrence / residual adenoma 16.4 / 31.7%. The aim of the study SCALP is to evaluate the incidence of complications, efficacy and cost of endoscopic resection of colic lesions\> 2cm in a setting of clinical practice in an unselected population
Interventions
None listed
Sponsors
Valduce Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients undergoing large endoscopic polypectomy
Exclusion criteria
* pregnancy * incapacity to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| complications of large polypectomy | 15 days | incidence of polypectomy-related adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| costs of large polypectomy | 15 days | assessment of the average cost per procedure, including devices and staff costs |
| efficacy of large polypectomy | 6 months | assessment of residual adenoma at follow-up |
Outcome results
None listed