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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT06001476
Recruitment Status : Not yet recruiting
First Posted : August 21, 2023
Last Update Posted : August 21, 2023
Sponsor:
Information provided by (Responsible Party):
Xiuli Zuo, Shandong University

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.

Condition or disease Intervention/treatment Phase
Peutz-Jeghers Syndrome Small Bowel Polyp Procedure: Cold snare polypectomy Phase 4

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
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
Estimated Study Start Date : August 20, 2023
Estimated Primary Completion Date : December 31, 2024
Estimated Study Completion Date : February 1, 2025

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Cold snare polypectomy group Procedure: Cold snare polypectomy
For eligible patients, use cold snare polypectomy to resect 5-9mm short-pedicled, broad-pedicled or sessile small bowel polyps




Primary Outcome Measures :
  1. Incidence of complications in the application of cold snare polypectomy for 5-9mm small bowel polypectomy in patients with PJS [ Time Frame: 28 days after the procedure ]
    The complications include complications during CSP and complications occurring within 28 days after enteroscopy


Secondary Outcome Measures :
  1. Incidence of complications during cold snare polypectomy for 5-9mm small bowel polypectomy [ Time Frame: Immediately after the procedure ]
    Including intraoperative bleeding (defined as active haemorrhage for more than 30s), perforation immediately, etc.

  2. Incidence of complications within 28 days after enteroscopy [ Time Frame: 28 days after the procedure ]
    Including Delayed bleeding, delayed perforation, pancreatitis, electrocoagulation syndrome.



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Ages Eligible for Study:   8 Years to 60 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06001476


Locations
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China, Shandong
Qilu Hospital, Shandong University
Jinan, Shandong, China, 250012
Sponsors and Collaborators
Shandong University
Publications:

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Responsible Party: Xiuli Zuo, Director of Qilu Hospital gastroenterology department, Shandong University
ClinicalTrials.gov Identifier: NCT06001476    
Other Study ID Numbers: 2023-SDU-QILU-G002
First Posted: August 21, 2023    Key Record Dates
Last Update Posted: August 21, 2023
Last Verified: August 2023

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Peutz-Jeghers Syndrome
Syndrome
Polyps
Intestinal Polyps
Disease
Pathologic Processes
Pathological Conditions, Anatomical
Neoplastic Syndromes, Hereditary
Neoplasms
Intestinal Polyposis
Intestinal Diseases
Gastrointestinal Diseases
Digestive System Diseases
Genetic Diseases, Inborn
Lentigo
Melanosis
Hyperpigmentation
Pigmentation Disorders
Skin Diseases