Inflammatory Bowel Disease
Conditions
Keywords
water, colonoscopy, Crohn´s disease, ulcerative colitis
Brief summary
Water-aided insertion of the colonoscope has been repeatedly proven to beneficial in terms of lower discomfort and need for sedation during colonoscopy. Patients with inflammatory bowel diseases (IBD) undergo repeated colonoscopy in course of their disease. According to our preliminary experience, water immersion could be beneficial while scoping these patients. As far as the investigators know, water-aided colonoscopy has never been studied in this indication. Results of our trial might support use of water-aided colonoscopy in common practice and decrease associated discomfort in IBD patients.
Interventions
Water immersion means infusion of room temperature water during colonoscope insertion without air insufflation.
Sponsors
Study design
Eligibility
Inclusion criteria
* known diagnosis of inflammatory bowel disease * planned diagnostic outpatient colonoscopy * signed informed consent * willingness to undergo unsedated colonoscopy
Exclusion criteria
* ulcerative proctitis * bowel resection longer than ileocecal resection * requirement for sedation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of unsedated colonoscopy | at the end of each colonoscopy | Successful unsedated colonoscopy is defined as reaching the cecum by using given insertion technique without administering sedation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Discomfort during colonoscopy | at the end of each colonoscopy | Discomfort level using visual continuous scale 0-10 (0 = no pain, 10 = worst pain). |
| Cecal intubation time | while reaching the cecum | Cecal intubation time is defined as time between colonoscope introduction into the anus and reaching the cecum. |
Countries
Czechia