Water Method Colonoscopy in Patients With Prior Surgery

Water Colonoscopy Versus Air Colonoscopy for Unsedated Patients With Prior Abdominal or Pelvic Surgery: a Prospective Randomized, Controlled Trial

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01485133

Enrollment

110

Registered

2011-12-05

Start date

2011-11-30

Completion date

2012-11-30

Last updated

2012-11-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Adenoma, Intubation, Pain, Surgery

Keywords

colonoscopy, water, surgery, unsedated

Brief summary

Water method with water exchange has been shown to reduce medication requirement and pain experienced during colonoscopy. It increases the success rate of cecal intubation in sedated and unsedated patients undergoing screening colonoscopy. Exchange of water during scope insertion minimizes distension of the colonic lumen and decreases loop formation. Exclusion of air from the colon during insertion by omission of air insufflations and suction removal of residual air prevent elongation of the colon. These maneuvers facilitate colonoscopy insertion in average patients and may enhance the success of difficult colonoscopy. Prior abdominal or pelvic surgery is an independent factor for difficult colonoscopy, the probable adhesion may change the anatomy and increase the discomfort of patients. We postulate that these patients may benefit from using the water method for colonoscopy. In this proposal we test the hypothesis that compared with conventional air insufflations the water method with water exchange significantly enhances the success rate of cecal intubation in patients with prior abdominal or pelvic surgery. The aim of the study is to compare the outcome of colonoscopy using the water method versus the conventional air method in patients with prior abdominal or pelvic surgery. The primary outcome is cecal intubation success rate. The secondary outcomes include cecal intubation time, maximum pain score during colonoscopy, overall pain score after colonoscopy and adenoma detection rate.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 80 Years

Healthy volunteers

Inclusion criteria

* Patients with prior abdominal or pelvic surgery,

Exclusion criteria

* History of colorectal surgery * Severe colonic stricture or obstructing tumor * Patients who cannot give informed consent and those who are hemodynamically unstable

Design outcomes

Primary

Measure	Time frame	Description
Cecal intubation success rate	up to ten months	Insertion of a colonoscope to the cecum

Secondary

Measure	Time frame	Description
Adenoma detection rate	up to ten months	The proportion of participants with at least one adenoma in each group
Pain Scores on the Visual Analog Scale	up to ten months	0 = no pain, to 10 = most severe pain
Cecum intubation time	up to ten months	Total time of colonoscope intubation from anus to cecum

Countries

China

Outcome results