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The use of an exclusive cold polypectomy snare enables a clean cut of diminutive colorectal polyps, resulting in an increase in the complete resection rate and a decrease in the adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exclusive cold polypectomy snare | Experimental | All colorectal polyps up to 10 mm found except for tiny hyperplastic polyps in the rectum and distal sigmoid colon are removed using an exclusive cold polypectomy snare (Exacto cold snare). The technique is cold snare resection of the polyp without tenting without electrocautery and then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is not performed after cold snare polypectomy. |
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| regular polypectomy snare | Active Comparator | All colorectal polyps up to 10 mm found except for tiny hyperplastic polyps in the rectum and distal sigmoid colon are removed using a regular polypectomy snare. The technique is cold snare resection of the polyp without tenting without electrocautery and then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is not performed after cold snare polypectomy. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exclusive cold polypectomy snare (Exacto cold snare, product number 00711115) | Device |
| ||
| Regular polypectomy snare (Snare Master, SD-210U-10) |
| Measure | Description | Time Frame |
|---|---|---|
| Complete resection rate of colorectal polyps | The complete resection rate of colorectal polyps based on the pathological examination. | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Postpolypectomy bleeding | Postpolypectomy bleeding within two weeks after cold snare polypectomy | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The procedure time | The procedure time spent for cold snare polypectomy | 1 day |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Showa Inan General Hospital | Komagane | Nagano | 399-4117 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25922251 | Derived | Horiuchi A, Hosoi K, Kajiyama M, Tanaka N, Sano K, Graham DY. Prospective, randomized comparison of 2 methods of cold snare polypectomy for small colorectal polyps. Gastrointest Endosc. 2015 Oct;82(4):686-92. doi: 10.1016/j.gie.2015.02.012. Epub 2015 Apr 25. |
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| Device |
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