Polyp Pretreatment Device for SSL Diagnosis

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorChanghai Hospital

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

1,156 Participants
are divided into 2 treatment groups

Locations

This trial has no 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