The underlying concern is the potential for these larger adenomatous polyps to progress to colorectal cancer Speedboat, Endoscopic mucosal resection, colon polyps
Conditions
Interventions
1. Submucosal injection using normal saline and methylene blue.
2. Removal of polyp by hot snare EMR
3. Clipping of post-polypectomy defect will be at the discretion of the endoscopist.,1. Submucosal
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
Endoscopic mucosal resection group,Speedboat group
Sponsors
excellence center for gastrointestinal endoscopy, King Chulalongkorn Memorial Hospital, Bangkok
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Patient who are aged 18 or older. 2. Patient with non-pedunculated polyp size 20-30 mm in the left side of colon
Exclusion criteria
Exclusion criteria: 1. Patient who has underlying familial adenomatous polyposis syndrome 2. Patient who has underlying inflammatory bowel disease 3. Patient with previous attempts at resection of the lesion 4. Lesion has signs of submucosal involvement on endoscopy. 5. Lesion involving the dentate line. 6. Patient who is pregnant 7. Patient with a bleeding tendency 8. Patient who is unwilling to provide written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resection rates 6 months surveillance colonoscopy and biopsies of the resection scar will be obtained to confirm the absence of recurrence on histology | — |
Secondary
| Measure | Time frame |
|---|---|
| Rates of bleeding 14 days post-procedure complications | — |
Countries
Thailand
Contacts
Public ContactPradermchai Kongkam
chulalongkorn university
Outcome results
None listed