The purpose of this randomized study is to compare ESD procedural time and cost facilitated with a dual balloon accessory device versus ESD procedures performed without the accessory device. Study is designed to detect if the double balloon interventional platform helps to perform removal of benign complex colonic lesions safer and in more efficient way.
This is a prospective, post-market, randomized clinical trial comparing colonic ESD procedures utilizing the DiLumen™ Endolumenal Interventional Platform to colonic ESD procedures that are performed without use the DiLumen™ device. The study participants will be randomly assigned to study group and control group The treatment group will consist of up to 100 subjects treated with the DiLumen™ device. The control group will consist of up to 100 subjects treated without DiLumen™ device. Assessments will include procedure timepoints, anesthesia use, polyp location and classification, over-all cost assessment, and general complications. The primary outcome will be analyzed using parametric statistics to compare the means of the study and control groups. P-values and confidence intervals will be reported. Descriptive and summary statistics will also be employed. Secondary outcomes will be summarized with descriptive statistics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
147
double balloon interventional platform (DiLumen) is used for removal of colonic polyp
double balloon interventional platform (DiLumen) is not used for removal of colonic polyp
Mercy Medical Center
Baltimore, Maryland, United States
Total case time
Time from the beginning of procedure until the end of the entire procedure Iin minutes)
Time frame: 3-month
Navigation time
Time from endoscope insertion into patient's rectum till colonic lesion is reached (in minutes)
Time frame: 3-month
Dissection time
Time from the start of lesion removal till the lesion removal is completed (in minutes)
Time frame: 3-month
Length of Hospital Stay
Days of admission to the hospital post procedure till the patient is discharged from the hospital (in days)
Time frame: 3-month
Cost of service
Total financial cost (in USA dollars) of the medical care received pertaining to the procedure and related follow-up
Time frame: 3-month
30-day readmittance rate
Number of patients readmitted to the hospital during first 30 days post colonoscopy
Time frame: 30-day
Patient satisfaction survey
Patients are given three statements regarding their procedures for which they answer if they agree or disagree with the statement.
Time frame: 3-month
Histologic pathology summary
The final pathological determination of the excised specimen, as determined by pathological examination
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Time frame: 3-month
Rate of complications
Adverse effects that occur during the study
Time frame: 3-month