Colonoscopy
Conditions
Keywords
Colonoscopy
Brief summary
Randomized Clinical trial between two positions to initiate colonoscopy, Right Sided vs Left Sided
Detailed description
Objective To assess whether in the colonoscopy, the initial position of the patient in the right lateral decubitus (DLD) translates into advantages such as: shorter examination time or greater range of detection of polyps, compared to the left lateral decubitus (DLI), a position traditionally used. Methodology This is a randomized and controlled clinical trial to be carried out in the city of Bogotá, in the Gastroenterology and Digestive Endoscopy Unit of the Colombia University Clinic, a fourth-level private clinic, a unit in which 7746 colonoscopies were performed in 2017. The study will be carried out over a period of 2 months until the sample is completed. Patients will be randomized to start their colonoscopy in the right lateral decubitus or left lateral decubitus and it would be assessed, the time to reach transverse colon, cecum and comfort perceived by the gastroenterologist and the patient.
Interventions
OTHERLeft Sided Colonoscopy
Starting colonoscopy with the patient in left decubitus
OTHERRight Sided Colonoscopy
Starting colonoscopy with the patient in right decubitus
Sponsors
Sanitas University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for diagnostic colonoscopies in the digestive endoscopy unit.
Exclusion criteria
* Therapeutic colonoscopies. * Patients with a history of colonic resection. * Patients who cannot give their informed consent. * Under 18 years old. * Pregnant women. * Patients with significant cardiopulmonary, renal or psychiatric disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to Reach Transverse Colon | During Procedure | Time from starting of colonoscopy until endoscopist reaches transverse colon |
| Time to Reach Cecum | During Procedure | Time from starting of colonoscopy until endoscopist reaches cecum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cecal Intubation | During Procedure | Passage of the colonoscope tip to a point proximal to the ileocecal valve, so that the entire cecal caput, including the medial wall of the cecum between the ileocecal valve and appendiceal orifice, is visible |
| Endoscopist Comfort | During Procedure | Comfort of the endoscopist measure in a 0 to 10 scale, being 0 not difficulty experienced, and 10 impossibility to intubate the appendix |
| Patient Comfort | During Procedure | Comfort of the patient measure in a 0 to 10 scale, being 0 not discomfort experienced, and 10 unbearable discomfort experienced during procedure |
| Number of polyps | During Procedure | Number of polyps detected in procedure |
| Abdominal pressure needed | During Procedure | Necessity of maneuvers to increasing abdominal pressure during procedure |
| Major adverse event | During Procedure | Transient or Prolonged hypoxemia, Arrhythmias, Hypotension, Perforation. |
| Change position needed | During Procedure | Necessity of changing starting position of the patient during procedure |
| Number of diverticula | During Procedure | Number of diverticula detected in procedure |
Countries
Colombia
Contacts
Primary ContactJorge A Medina, MD
Backup ContactDiego M Aponte, MD MSc
Outcome results
None listed