Colonoscopy
Conditions
Brief summary
The purpose of this physician blinded, randomized study is to determine the utility, effectiveness, and feasibility of using colonic irrigation as a substitute for standard oral colonic purgative solutions for colonoscopy preparation. Patients will be randomized to receive either oral isosmotic solution (PEG) or colonic irrigation using the Hydro San Plus Colon therapy system, an FDA approved and isosmotic (ISO) certified device for colonic irrigation and cleansing before endoscopic procedures.
Interventions
Isosmotic Preps contain polyethylene glycol (PEG) and are osmotically balanced, high-volume, nonabsorbable, and nonfermentable electrolyte solutions.
FDA approved method of colon cleansing using constant warm water lavage with a contained temperature and pressure controlled device administered by a trained technician
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutive adult patients (\>18 years old) who require screening or surveillance colonoscopy * Ability to give consent
Exclusion criteria
* Inability to obtain informed consent * Pregnant patients * Patients under the age of 18 * Active ulcerative colitis or crohn's disease flare * Prisoners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of Boston Bowel Prep Score (BBPS) | 1 Day | Quality of bowel preparations validated by numerical scale for bowel cleanse (0-9 best) |
Secondary
| Measure | Time frame |
|---|---|
| Difference in Adenoma Detection Rate (ADR) | 1 Day |
| Difference in the number of follow ups needed after colonoscopy | 1 Day |
| Difference in overall comfort and convenience between Colonic Hydrotherapy and Isosmotic Irrigation using Boston Bowel Preparation Score (BBPS) | 1 Day |
| preferences regarding type of bowel prep for future colonoscopy based on difference in score between Colonic Hydrotherapy and Isosmotic Irrigation using Boston Bowel Preparation Score (BBPS) | 1 Day |
Countries
United States