NCT01406379

Comparison of Prophylactic Clip and Detachable Snare

Comparison of Clip and Detachable Snare in Preventing Postpolypectomy Bleeding for Pedunculated Colonic Polyps: a Prospective, Randomized Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 203 (actual)
• Sponsor: The Catholic University of Korea · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Although endoscopic colonic polypectomy has been an established procedure for two decades, the risk of bleeding is still higher after resecting of pedunculated polyps, because of the presence of a large artery in the stalk. Several preventive methods such as detachable snare and adrenaline injection have been proposed in the management of postpolypectomy bleeding in large colonic polyps. For prophylactic clip, there was no prospective randomized study assessing the efficacy in the prevention of postpolypectomy bleeding for the large pedunculated polyps. So we designed a prospective, randomized study to compares the efficacy of application of prophylactic clip and detachable snare in the prevention of postpolypectomy bleeding in large polyps. Application of prophylactic clip will be as effective and safe method as detachable snare in the prevention of postpolypectomy bleeding for the large pedunculated colonic polyps.

Conditions

• Colonic Polyp

Interventions

Type	Name	Description
PROCEDURE	Prophylactic clip	Before conventional snare polypectomy, hemoclips were applied on the base of stalk in the prophylactic clip group
PROCEDURE	Detachable snare	In the detachable snare group, detachable snare was positioned at the base of stalk and followed by conventional snare polypectomy

Timeline

• Start date: 2010-07-01
• Primary completion: 2013-01-01
• Completion: 2013-02-01
• First posted: 2011-08-01
• Last updated: 2013-08-20