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Cold Snare Polypectomy for Small Bowel Polyps in Patients With Peutz-Jeghers Syndrome

Primary Purpose

Peutz-Jeghers Syndrome, Small Bowel Polyp

Status
Not yet recruiting
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Cold snare polypectomy
Sponsored by
Shandong University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peutz-Jeghers Syndrome

Eligibility Criteria

8 Years - 60 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age 8-60, male or female. Diagnosed with Peutz-Jeghers Syndrome Undergo enteroscopy for small bowel polypectomy. Exclusion Criteria: Absence of at least one study polyp (5-9mm stubby pedicle, wide pedicle and sessile small bowel polyps); Be evaluated during enteroscopy for requiring surgical intervention (such as endoscopically difficult to handle giant polyps, intussusception, etc.); With more than 50 polyps ≥1cm found in this enteroscopy examination; The polyp has been confirmed to be malignant by pathology, or highly suspicious of malignant transformation under endoscopy; Receiving anticoagulant therapy during this treatment; Unable or unwilling to provide informed consent.

Sites / Locations

  • Qilu Hospital, Shandong University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Cold snare polypectomy group

Arm Description

Outcomes

Primary Outcome Measures

Incidence of complications in the application of cold snare polypectomy for 5-9mm small bowel polypectomy in patients with PJS
The complications include complications during CSP and complications occurring within 28 days after enteroscopy

Secondary Outcome Measures

Incidence of complications during cold snare polypectomy for 5-9mm small bowel polypectomy
Including intraoperative bleeding (defined as active haemorrhage for more than 30s), perforation immediately, etc.
Incidence of complications within 28 days after enteroscopy
Including Delayed bleeding, delayed perforation, pancreatitis, electrocoagulation syndrome.

Full Information

First Posted
August 14, 2023
Last Updated
August 14, 2023
Sponsor
Shandong University
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1. Study Identification

Unique Protocol Identification Number
NCT06001476
Brief Title
Cold Snare Polypectomy for Small Bowel Polyps in Patients With Peutz-Jeghers Syndrome
Official Title
Feasibility and Safety Analysis of Cold Snare Polypectomy in 5-9mm Small Intestinal Polyp Resection in Patients With Peutz-Jeghers Syndrome: A Prospective, Interventional Study
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 20, 2023 (Anticipated)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
February 1, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shandong University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study aims to evaluate the feasibility and safety of Cold snare polypectomy for removing 5-9mm small intestinal polyps in patients with Peutz-Jeghers Syndrome (PJS),in order to provide some reference for clinical strategy of endoscopic treatment of small intestinal polyps in PJS patients, and may prolong the follow-up period of PJS patients Intervals.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peutz-Jeghers Syndrome, Small Bowel Polyp

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cold snare polypectomy group
Arm Type
Experimental
Intervention Type
Procedure
Intervention Name(s)
Cold snare polypectomy
Intervention Description
For eligible patients, use cold snare polypectomy to resect 5-9mm short-pedicled, broad-pedicled or sessile small bowel polyps
Primary Outcome Measure Information:
Title
Incidence of complications in the application of cold snare polypectomy for 5-9mm small bowel polypectomy in patients with PJS
Description
The complications include complications during CSP and complications occurring within 28 days after enteroscopy
Time Frame
28 days after the procedure
Secondary Outcome Measure Information:
Title
Incidence of complications during cold snare polypectomy for 5-9mm small bowel polypectomy
Description
Including intraoperative bleeding (defined as active haemorrhage for more than 30s), perforation immediately, etc.
Time Frame
Immediately after the procedure
Title
Incidence of complications within 28 days after enteroscopy
Description
Including Delayed bleeding, delayed perforation, pancreatitis, electrocoagulation syndrome.
Time Frame
28 days after the procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
8 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 8-60, male or female. Diagnosed with Peutz-Jeghers Syndrome Undergo enteroscopy for small bowel polypectomy. Exclusion Criteria: Absence of at least one study polyp (5-9mm stubby pedicle, wide pedicle and sessile small bowel polyps); Be evaluated during enteroscopy for requiring surgical intervention (such as endoscopically difficult to handle giant polyps, intussusception, etc.); With more than 50 polyps ≥1cm found in this enteroscopy examination; The polyp has been confirmed to be malignant by pathology, or highly suspicious of malignant transformation under endoscopy; Receiving anticoagulant therapy during this treatment; Unable or unwilling to provide informed consent.
Facility Information:
Facility Name
Qilu Hospital, Shandong University
City
Jinan
State/Province
Shandong
ZIP/Postal Code
250012
Country
China

12. IPD Sharing Statement

Citations:
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31342472
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Cold Snare Polypectomy for Small Bowel Polyps in Patients With Peutz-Jeghers Syndrome

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