Redundant Colon
Conditions
Brief summary
This study aims to look if use of goggle balloon can help to complete colonoscopy in patients with very redundant colons.
Detailed description
About 5% of colonoscopies are technically difficult because the colon is elongated or redundant. There is an increased risk of the colonoscope not reaching the cecum in these cases. One solution to this is to try to keep the colon shorter by not insufflating it with gas. In order to achieve that, in these cases the investigators typically fill the colon with water, which does not distend the colon as much. Another technique, which can improve visualization, is to use a device called the goggle balloon. This is a small balloon filled with a few mL of water which fits over the end of the colonoscope and pushes the colonic mucosa away from the end of the scope so that the luminal direction can be visualized with minimal insufflation. In patients with normal colons, the goggle balloon can be used to insert the colonoscope to the cecum with virtually no air or water filling. We aim to study if the goggle balloon can be used to help complete the colonoscopy in patients with redundant colons.
Interventions
Colonoscopy will be performed using the water immersion technique.
Colonoscopy will be performed using a goggle balloon at the tip of the scope with water immersion technique.
Sponsors
Study design
Eligibility
Inclusion criteria
Referral for incomplete colonoscopy
Exclusion criteria
Known stricture or narrowing of the colon, prior colon resection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of subjects with complete colonoscopy in each arm | 2 years |
Secondary
| Measure | Time frame |
|---|---|
| Time to cecal intubation in each arm | 2 years |
Countries
United States