Colonic Polyps
Conditions
Keywords
Colonoscopy, Positioning in colonoscopy, Quality control
Brief summary
Colonoscopy is the gold standard investigation in the screening of colorectal neoplasms. The investigators hypothesise that visualisation of the colonic mucosa on extubation may be improved by changing patient position as follows: left lateral position for the right colon, supine for the transverse colon and right lateral position for the left colon(fixed positioning). The investigators aim to validate our hypothesis by performing a randomised control study, comparing mucosal visualisation in patients placed in the 'routine' positions at the discretion of the endoscopist with visualisation in those placed in the above described positions. The hypothesis is that fixed positioning confers an advantage.
Interventions
PROCEDUREColonoscopy
Recording of colonoscopic extubation
Sponsors
Sheffield Teaching Hospitals NHS Foundation Trust
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients requiring colonoscopy
Exclusion criteria
* Polyp surveillance * Cancer surveillance * Infirmity * Pregnancy * Colectomy * Poor tolerance * Failed colonoscopy * Poor bowel preparation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mucosal visualisation | 3 months | Made by video assessment of colonoscopic withdrawal |
| Luminal distension | — | — |
Countries
United Kingdom
Outcome results
None listed