colon polyps, irradical endoscopic resection, endoscopic assisted wedge resection
Conditions
Interventions
laparoscopic wedge resection and a colonoscopy during this intervention
Sponsors
UMC Utrecht
Eligibility
Inclusion criteria
Inclusion criteria: - A difficult non-invasive polyp that cannot be removed by standard EMR/ESD technique as assessed by an experienced gastroenterology expert panel - A non-lifting recurrence of adenomatous tissue after irradical endoscopic removal. - Resection of the scar after a prior endoscopic removal of an invasive T1 CRC without free resection margins but without high risk features of lymph node metastasis - age of 18 years of older
Exclusion criteria
Exclusion criteria: - Pregnancy - > 50% circumferential growth of the polyp in the lumen
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| safety of limited endoscopic assited laparoscopic wedge resection(EAWR) | — |
Secondary
| Measure | Time frame |
|---|---|
| - effectiveness of EAWR, defined as the number of radical resection (margin of normal colonic mucosa of at least 1mm) - morbidity of limited EAWR 3 months after the procedure - recurrence rate at 6 months - total procedure related costs of limited EAWR - implementation of limited EAWR in the Netherlands | — |
Contacts
Public ContactL.W. Leicher,
Department of Gastroenterology and Hepatology, ISALA
Outcome results
None listed