Can a colder snip cut bleeding risks in colon polyp removal?
NCT ID NCT05930041
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This trial asks whether a newer, simpler technique called cold snare polypectomy (CSP) causes less damage to blood vessels under colon polyps than the traditional hot snare method. It involves adults with non-cancerous colon polyps sized 10-19 mm. The study compares the presence of injured arteries and the rate of delayed bleeding between the two procedures, potentially offering a safer option for polyp 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 polypectomy (CSP) procedure
- What this could lead to
- If CSP proves safer, it could become the preferred method for removing medium-sized colon polyps, reducing post-procedure bleeding and simplifying the procedure.
- What could go wrong
- This is a single-center trial with a modest sample size, and results may not apply broadly. The procedure might not be as effective at complete removal, potentially increasing recurrence risk.
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
-
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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124 people
The number who actually took part.
- Started
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Jan 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- 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: * at least one polyp sized 10-19 mm (Paris classification Is or IIa) revealed by endoscopic examination. Exclusion Criteria: 1. American Society of Anesthesiologists status class 3 or above 2. poor bowel preparation (Boston Bowel Preparation Scale \<6 points) 3. endoscopic features indicating submucous infiltration or malignancy 4. oral anticoagulants,or antiplatelet agents, or known blood coagulation disorders, or bleeding tendency 5. a history of colorectal resection 6. emergent colonoscopy (haemodynamic instability and/or continued active gastrointestinal bleeding and/or requiring intensive care patients) 7. inflammatory bowel disease, familial polyposis and colorectal cancer 8. pregnancy or lactation 9. severe cardiopulmonary dysfunction, cirrhosis, chronic kidney disease, other malignant tumours 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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Showa Inan General Hospital
Komagane, Nagano, 399-4117, Japan
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Other studies related to the condition(s) this trial covers.
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