Colonoscopy
Conditions
Keywords
Tuberculosis, IBD, endoscopy
Brief summary
During colonoscopy, the colonoscopist employs various maneuvers, including changing the patient's posture to left-lateral decubitus or supine, to achieve complete colonoscopic examination. Posture change has also been reported to increase the success rate of ileal intubation. However, there has been no randomized trial which has shown that a particular posture of the patient increases the success rate of ileoscopy. The present study will be carried out to determine the impact of the patient's posture (left lateral vs supine position) on success rate of ileal intubation.
Interventions
PROCEDUREIleal intubation
After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Partial suction and scope manoeuvres for ileal intubation will be allowed. Use of anti-peristalsis agents, use of biopsy forceps, as a guidewire or an ''anchor'' to facilitate the IC- valve intubation, and intubation in the retroflexed position will not be allowed.
Sponsors
Post Graduate Institute of Medical Education and Research, Chandigarh
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult (\> 12y old) patients referred for colonoscopy
Exclusion criteria
* Acute fulminant colitis * Acute Intestinal obstruction * Suspected intestinal perforation * Peritonitis * Pregnancy * Severe cardio-respiratory disease (ASA grade…) * Decompensated liver disease * Recent pelvic or colonic surgery (in last 6 months) * Large aortic or ileac artery aneurysm * Human Immunodeficiency Virus Infection * Uncooperative patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ileal intubation achieved or not | After confirmation of cecal intubation for no more than 6 minutes | After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Two points will be assessed: success in ileal intubation and time taken to intubate the ileum. If ileum is not intubated within 6 minutes, it will be considered as failed attempt. |
Secondary
| Measure | Time frame |
|---|---|
| Time taken to intubate the ileum after cecal intubation | 6 minutes after cecal intubation and randomisation |
| Depth of ileal intubation | 2 minutes |
| Influence of endoscopist experience on successful ileal intubation | 6 minutes |
| Abnormal ileal findings | 2 minutes |
Countries
India
Contacts
Primary ContactKshaunish Das, MD, DM
Outcome results
None listed