Cold Snare Endoscopic Mucosal Resection (EMR) vs Cold EMR With Margin Snare Tip Soft Coagulation (STSC)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWestern Sydney Local Health District

About this trial

Randomised controlled trial comparing cold snare endoscopic mucosal resection (EMR) with cold snare EMR and adjuvant margin STSC in the complete resection of 15-40mm lateral-spreading adenomas

Eligibility criteria

Qualifiers

Localisation in the colon or rectum

Benign adenomatous surface features (Kudo III / IV, Japan NBI Expert Team (JNET) 2a)

Granular or non-granular topography

Paris classification 0-IIa/IIb +/- Is

Disqualifiers

Current use of antiplatelet (excluding aspirin) or anticoagulants which have not appropriately been interrupted according to the guidelines.

Known bleeding disorder or coagulopathy.

Pregnancy

History of inflammatory bowel disease

Trial design

Treatments tested in this trial

  • Cold Snare Endoscopic mucosal resection with adjuvant snare tip soft coagulation
  • Cold Snare Endoscopic Mucosal Resection

Treatment groups

300 Participants
are divided into 2 treatment groups