Adenoma Detection Rate (ADR). Polyp of colon
Conditions
Interventions
Intervention 1: Intervention group: positioning the patient in supine position in the withdrawal phase of colonoscopy. At the beginning of the withdrawal phase of colonoscopy, patients will be switche
Sponsors
Babol University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 85 Years
Inclusion criteria
Inclusion criteria: Age between 40 and 85 years Recommended to do screening colonoscopy
Exclusion criteria
Exclusion criteria: History of Colitis History of Colonic Polyposis Syndrome Familial history of Colorectal Cancer History of Colectomy History of Cholecystectomy History of Endoscopic Retrograde Cholangiopancreatography (ERCP) History of Colonoscopy in the past year History of Inflammatory Bowel Disease History of Opium use Lack of Anesthesia for Colonoscopy Difference in received Anesthesia Drug Lack of Antispasmodic Medication for Colonoscopy Differences in received Antispasmodic Drug Difference in dose of received Antispasmodic Drug Absence of a Nurse during Colonoscopy Presence of a second physician during Colonoscopy Musculoskeletal problems in Patient Patient Dissatisfaction to Participate in the Study Disapproval of reaching to Cecum by physician or requiring more than 20 minutes to reach the Cecum Inadequate Bowel Preparation (The Boston Bowel Preparation Scale less than 5) Occurrence of any Side Effects During the Colonoscopy procedure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adenoma Detection Rate. Timepoint: The outcome variable will be calculated after doing colonoscopy for all specimens for both study groups. Method of measurement: The number of adenomas observed in the withdrawal phase for each patient will be recorded in the patient's pre-prepared form. After doing colonoscopy of all specimens, we calculate the adenoma detection rate for each group. It is the proportion of patients in whom more than one adenoma has been observed to all patients undergoing colonoscopy and will be calculated separately for each group. | — |
Secondary
| Measure | Time frame |
|---|---|
| The Size of a Detected lesion. Timepoint: During Colonoscopy Procedure. Method of measurement: during the colonoscopy procedure, the diameter of the detected lesion will be measured in comparison to the biopsy forceps and will be recorded in the patient-specific form.;Patient's feeling about Abdominal Fullness after Colonoscopy. Timepoint: 10 minutes after the patient recovered. Method of measurement: 10 minutes after the patient recovered, we will ask him or her about abdominal fullness by using a prepared question which has 5 option from no abdominal fullness to painful fullness. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactJavad Shokri Shirvani
Babol University of Medical Sciences
Outcome results
None listed