Colonic Diseases, Functional, Endoscopy, Prone Position
Conditions
Keywords
Colonoscopy, Insertıon tecnique, Prone, Left Supine, Dynamic
Brief summary
Colonoscopy is one of the most common endoscopic procedures today. However, it sometimes can be a serious challenging situation both for the clinicians and patients. In this study, the investigators tried to determine which colonoscopic position allows easy, fast and comfortable way.
Detailed description
colonoscopy and colonoscopic screening are the most common routine studies to reduce the incidence of colorectal cancer.In this process, the most important problem for the endoscopist and the patient is pain, loop formation, (the reason why the device is not able to progress in the bowel) and in some patients it takes a long time due to these reasons and the risk of complication development.The subject of what should be the most ideal position in colonoscopy has previously been studied in some specific subgroups.There is not enough study on what should be the ideal position in colonoscopy. In this study, the investigators tried to determine which colonoscopic position allows easy, fast and comfortable way.
Interventions
colonoscopy will be performed in 3 different locations. Left position, the patient will be in the left-side position during the entire colonoscopy
Colonoscopy in the Left supine position
Colonoscopy in the Dynamic position
Sponsors
Study design
Intervention model description
this study includes 3 different groups. left, left supine,dynamıc
Eligibility
Inclusion criteria
* Adult patients aged for 18 to 80 years, * colonoscopy indications (iron deficiency anemia ,Malignancy screening in patients over 50 years of age,secret blood positivity in stool, rectal bleeding,patients describing Hematoconia, chronic diarrhea, constıpatıon
Exclusion criteria
* patients with previous colon surgery * serious comorbid disease (congestive heart failure ef\< %30 , advanced chronic obstructive pulmonary disease,terminal period cancer with a life expectancy of less than 5 years, those who have not had appropriate bowel cleaning,endoscopic treatment during colonoscopy or removal of diagnostic lesions,other sedatives for sedation other than midazolam
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to reach cecum | 2 hour | Cecum intubation time is the insertion time taken from first visualization of rectal mucosa to cecum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient's comfort assessment: Visual Analog Score | 3 hour | patients' discomfort will be assessed by a 10-cm visual analog scale, in which a score of 0 denoted no pain and a score of 10 denoted unbearable pain |
Countries
Turkey (Türkiye)