Cold vs. hot snare: which is better for removing colon polyps?
NCT ID NCT05545787
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study compared two methods for removing non-cancerous colon polyps that are 10-19 mm in size: cold snare (no heat) and hot snare (uses heat). 216 adults undergoing colonoscopy were randomly assigned to one method. The goal was to see if cold snare is as effective and safe as hot snare for complete removal.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cold snare endoscopic mucosal resection and hot snare endoscopic mucosal resection
- What this could lead to
- If successful, this could show that cold snare removal is just as effective as hot snare but with fewer risks, improving colon polyp treatment.
- What could go wrong
- This is a completed trial with 216 participants, but results may not apply to larger polyps or other populations. Both procedures carry risks like bleeding or perforation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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216 people
The number who actually took part.
- Started
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Oct 2022
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18-80 years of age; * undergo colonoscopy in the Digestive Endoscopy Center of Peking Union Medical College Hospital, Beijing Tsinghua Changgung Hospital or Seventh Medical Center, General Hospital of the Chinese People's Liberation Army; * volunteer to participate in this study and sign informed consent; * at least one polyp sized 10-19 mm (Paris classification Is or IIa) by colonoscopy. Exclusion Criteria: * American Society of Anesthesiologists (ASA) status class 3 or above; * poor bowel preparation (Boston bowel preparation scale \< 6 points); * known or endoscopic features indicating the submucous infiltration or malignancy; * oral anti-coagulants, or antiplatelet agents, or known blood coagulation disorders, or bleeding tendency (platelets\<50000 cells/mm3 or INR\>1.5); * a history of colorectal resection; * emergency colonoscopy (hemodynamic instability and/or continued active gastrointestinal bleeding and/or requiring intensive care patients); * inflammatory bowel disease, familial polyposis, and colorectal cancer; * pregnancy or lactation; * severe cardiopulmonary dysfunction, liver cirrhosis, chronic kidney disease, other malignant tumors, or severe infectious diseases.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Beijing Daxing District People's Hospital
Beijing, Beijing Municipality, 102600, China
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Beijing Dongcheng District First People's Hospital
Beijing, Beijing Municipality, 100010, China
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Beijing Fangshan District Liangxiang Hospital
Beijing, Beijing Municipality, 102401, China
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Beijing Sixth Hospital
Beijing, Beijing Municipality, 100191, China
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Beijing Tsinghua Changgung Hospital
Beijing, Beijing Municipality, 102218, China
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Emergency General Hospital
Beijing, Beijing Municipality, 100028, China
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Henan Provincial People's Hospital
Zhengzhou, Henan, 450003, China
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PLA Western Theater General Hospital
Chengdu, Sichuan, 610083, China
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
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Seventh Medical Center, General Hospital of the Chinese People's Liberation Army
Beijing, Beijing Municipality, 100700, China
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The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266005, China
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The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400016, China
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The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006, China
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The First Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030001, China
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West China Longquan Hospital, Sichuan University
Chengdu, Sichuan, 610041, China
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Other studies related to the condition(s) this trial covers.
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