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This clinical trial is being conducted to assess whether the rotary polypectomy snare could decrease the time to removal of colorectal polyps
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| rotary polypectomy snare | Experimental | All colorectal polyps found are removed using a rotary polypectomy snare (Disposable Polypectomy Snare). The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the direction of the snare by rotating the handle as required, rotate the loop until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then inhaling the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is used after hot snare polypectomy if removing a flat polyp or bleeding on the wound after treatment. |
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| regular polypectomy snare | No Intervention | All colorectal polyps found are removed using a regular polypectomy snare (polypectomy snare, symmetrical). The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the bending section angulation of the colonoscopy as required, advance the snare until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then suction of the transected polyp into a trap followed by submission to the histological evaluation. The hemostatic clipping is performed after hot snare polypectomy if a flat polyp or bleeding on the wound after treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Disposable Polypectomy Snare,JHY-SD-23-230-30-A1 | Device | The technique is hot snare resection of the polyp with electrocautery. Details are as follows: (1) insert the snare into the colonoscopy; (2) connect the snare with the high-frequency device;(3) advance sliding handle to open the loop; (4) adjust the direction of the snare by rotating the handle as required, rotate the loop until the loop reaches target polyp; (6) encircle the target polyp with loop; (7) pull the sliding handle, lasso the target polyp;(8) resect the polyp with electrocautery, then inhaling the transected polyp into a trap followed by submission to the histological evaluation. |
| Measure | Description | Time Frame |
|---|---|---|
| the average time of each polyp removing | Using a stopwatch to record the removing time of each polyp (starting the stopwatch when the snare stretched out of the pipe and ending with the polyp being completely removed); Furthermore, we excluded the time of submucosal injection, electrocoagulation, and the use of preventive titanium clips | 1day |
| Measure | Description | Time Frame |
|---|---|---|
| Postpolypectomy bleeding | Postpolypectomy bleeding within two weeks after polypectomy | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The procedure time | The procedure time spent for polypectomy | 1day |
Inclusion Criteria:
18-85 year;
Patients with colorectal polyps ;
informed consent;
Exclusion Criteria:
patients taking antiplatelet or anticoagulant therapy during the past 1 week of the procedure;
known coagulopathy;
history of inflammatory bowel diseases;
Hemodynamically unstable;
pregnancy
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| Name | Affiliation | Role |
|---|---|---|
| Lei XU, PHD | Department of Gastroenterology, Ningbo No. 1 Hospital, Ningbo, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ningbo NO.1 hospital | Ningbo | Zhejiang | 315010 | China |
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