Water-Assisted scope may improve colon polyp removal
NCT ID NCT07040020
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This trial tested a new method called underwater ESD for removing large, flat colon polyps. Instead of using gas to inflate the colon, doctors fill it with saline water. The goal was to see if this reduces complications like bleeding or perforation and improves complete removal. 122 adults with polyps larger than 20mm took part. The study compared the underwater approach to the standard gas-based technique.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Underwater ESD (U-ESD) procedure
- What this could lead to
- If successful, this could make removing large colon polyps safer and more effective, reducing the need for surgery.
- What could go wrong
- This is a completed trial with 122 participants, so results are limited in size. The underwater technique may not prove superior for all polyp types or settings.
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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122 people
The number who actually took part.
- Started
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Mar 2025
- Finished
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Mar 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 years and older
- 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: * all patients ≥ 18 years of age with indication of ESD for large (\>20mm) nonpedunculated colorectal polyps * patients who were able to give informed written consent Exclusion Criteria: * Suspicion of deep submucosal cancer by analysis of pit pattern (KUDO Vn) * Suspicion of serrated/hyperplastic polyps by analysis of pit pattern (Kudo IIo) * Polyp involving the appendix deeply (type 2 or 3 according to Toyonaga classification) * Polyp involving the anal verge * Polyp inside the ileo-cecal valvula
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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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IRCCS Humanitas Research Hospital
Rozzano, MI, 26900, Italy