Cold Snare Endoscopic Mucosal Resection (C-EMR) Versus Hot Snare Endoscopic Mucosal Resection (H-EMR) for Large Colorectal Polyps (10-20 mm)

Launched by ASIAN INSTITUTE OF GASTROENTEROLOGY, INDIA · Dec 19, 2023

Keywords

ClinConnect Summary

This clinical trial is studying two different methods for removing large polyps (growths) from the colon, called Cold Snare Endoscopic Mucosal Resection (C-EMR) and Hot Snare Endoscopic Mucosal Resection (H-EMR). The goal is to see which method is more effective at completely removing non-pedunculated polyps that are between 10 and 20 millimeters in size and to compare any side effects that might occur with each method.

To participate in the trial, you need to be an adult over 18 years old and have a polyp larger than 5-10 mm. However, certain health conditions, like inflammatory bowel disease or severe bleeding problems, may prevent you from joining. If you decide to participate, you will be randomly assigned to one of the two treatment groups and closely monitored to see how well the procedure works and if there are any complications. This trial is currently recruiting participants, and it aims to help doctors determine the best approach for safely and effectively removing large colon polyps.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adult above 18 years
• • polyp size greater than 5-10mm.
• Exclusion Criteria:
• • Inflammatory bowel disease
• • Familial Polyposis Syndromes
• • Patient who is unable to understand study protocol or not consenting
• • Severe coagulopathy (INR Greater than 1.5 platelets)
• • Receiving antiplatelets withing 5 days of procedure
• • If antiplatelets stopped for 5 days-they were restarted on next day after procedure.