Adenoma, Colonoscopy, Position
Conditions
Brief summary
There was an only single operator study reporting dynamic position change during colonoscopy withdrawal significantly improved polyp and adenoma detection. So we designed a prospective, randomized multicenter study to verify the effect of dynamic position change in colonic adenoma detection. We think position change improve luminal distension and has the potential to improve adenoma detection rate.
Interventions
Patients change position (cecum to hepatic flexure, left lateral; transverse colon, supine; splenic flexure and descending colon , right lateral) during colonoscopy withdrawal.
In left lateral position group patients are positioned left lateral decubitus during colonoscopy withdrawal.
Sponsors
Study design
Eligibility
Inclusion criteria
* patient aged over 45 years who will be performed colonoscopy for the first time
Exclusion criteria
* polyposis syndrome * musculoskeletal problem * Inflammatory bowel disease * previous bowel operation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adenoma detection | 4 weeks |
Countries
South Korea