About this trial
Colorectal cancer (CRC) is the third most common malignancy globally. Sessile serrated lesions (SSLs) account for 15-30% of CRC via the serrated pathway. Accurate SSL diagnosis relies on basal crypt features, which are often obscured by specimen curling during standard formalin fixation, leading to underdiagnosis. A novel polyp pretreatment device mechanically maintains mucosal flatness, ensuring vertical sectioning relative to the muscularis mucosae. This randomized, double-blind, parallel-controlled trial evaluates whether the device improves SSL diagnostic rate and section orientation in sessile colorectal polyps.
Eligibility criteria
Qualifiers
Patients undergoing colonoscopic polypectomy (≤3 lesions if multiple).
Sessile/flat polyps (Paris 0-Is,0-IIa, 0-IIb, 0-IIc) resected by snare or EMR with intact specimens.
Signed informed consent.
Disqualifiers
Refusal or lack of informed consent.
Polyp size ≥25 mm or fragmented resection.
Severe specimen damage/cautery artifact or time from resection to fixation >30 min.
Suspected/confirmed CRC, IBD, or polyposis syndromes.
Trial design
Treatments tested in this trial
- Polyp Pretreatment Device
Treatment groups
Locations
Sponsors and collaborators
Changhai Hospital
Lead sponsor
Heilongjiang Provicial Hospital
Collaborator
Ankang Central Hospital
Collaborator
Huadong Hospital Affiliated with Fudan University, Shanghai
Collaborator
The First Affiliated Hospital of Nanchang University
Collaborator
Ya'an People's Hospital
Collaborator
The Second Hospital of Hebei Medical University
Collaborator
Chongqing General Hospital
Collaborator
Guangzhou Medical University Affiliated Qingyuan Hospital (Qingyuan People's Hospital)
Collaborator
Shanxi Provincial People's Hospital
Collaborator
Shanghai Sixth Hospital
Collaborator
People's Hospital of Leshan, Sichuan Province
Collaborator
The Third People's Hospital of Chengdu
Collaborator
The Third People's Hospital of Jingdezhen
Collaborator
Ningbo Hospital of Integrated Traditional Chinese and Western Medicine
Collaborator
Shandong Provincial Second People's Hospital
Collaborator