Colon Cancer Clinical Trial
Official title:
Endoscopic Full Thickness Resection Versus Standard Therapy of the Colorectal Neoplasia - Prospective Randomized Study
Most of the cancers develop from the adenomatous polyps. The therapeutic methods have been established already - endoscopic polypectomy (EPE) for stalked polyps and endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) for non-pedunculated polyps. EMR is preferred in European countries over ESD because of its higher feasibility. However, the local residual neoplasia (LRN) after EMR has been reported in 14 - 24 % cases. There is a higher LRN risk in sessile polyps which do not elevate sufficiently after the submucosal injection (non-lifting sign) and the piece-meal resection needs to be used. Therefore, the new method of endoscopic full-thickness resection (FTR) has been developed to resect these lesions.
Status | Recruiting |
Enrollment | 80 |
Est. completion date | December 2022 |
Est. primary completion date | June 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - age = 18 years - colorectal lesions of 10-25 mm size with positive non-lifting sign - signed informed consent with the study and with colonoscopy Exclusion Criteria: - age < 18 years - lesions > 25 mm - pedunculated polyps - colorectal stenosis - colonoscopy contraindication - severe acute inflammatory bowel disease - severe comorbidities - patient not able to sign the informed consent |
Country | Name | City | State |
---|---|---|---|
Czechia | Military University Hospital | Prague |
Lead Sponsor | Collaborator |
---|---|
Military University Hospital, Prague | Masaryk University, University Hospital Olomouc |
Czechia,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion of R0 procedures | proportion of patients with resection specimens with negative horizontal and vertical margins confirmed by histopathology | 3 months | |
Secondary | Proportion of curative resections | Proportion of the LRN at 6 months and 12 months follow-up colonoscopy after the index therapeutic colonoscopy | 12 months |
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