About this trial
Colonoscopy with polypectomy reduces the incidence and mortality associated with colon cancer. However, polypectomy is associated with adverse events such as bleeding. Tranexamic acid (TXA) is a synthetic derivative of lysine that exerts antifibrinolytic effects and may prevent bleeding. The investigators aim to evaluate the effect of local TXA on preventing intraprocedural and postprocedural bleeding in patients undergoing endoscopic mucosal resection (EMR) of large colon polyps.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients referred for endoscopic resection of non-neoplastic and neoplastic lesions in the colon presenting to our tertiary academic center.
Age > 18 years
Disqualifiers
patients with histories of allergic reactions to TXA
history of seizures
pregnancy
Trial design
Parallel
Treatments tested in this trial
Tranexamic acid
DrugSubmucosal injection of standard solution including TXA during EMR procedure
Standard
DrugInjection of standard solution
Treatment groups
Trial outcomes
Primary outcomes
Postprocedural bleeding
Overt postprocedural bleeding, whether including a drop in hemoglobin or not
Secondary outcomes
Intraprocedural bleeding
Bleeding during the procedure requiring treatment
Sponsors and contacts
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