Colon Disease
Conditions
Keywords
Motorized Spiral enteroscopy, colonoscopy
Brief summary
The new technology of the motorized Spiral enteroscope, originally developed for deep small bowel enteroscopy, might potentially overcome some limitations of standard colonoscopy.
Detailed description
Cecal intubation rate represents a key procedural quality parameter in diagnostic colonoscopy. However, even in experienced hands, a significant percentage of colonoscopies (1.6-16.7%) remain incomplete because of a failure to intubate the cecum. The new technology of the motorized Spiral enteroscope, originally developed for deep small bowel enteroscopy, might potentially overcome some limitations of standard colonoscopy. The study aim was to evaluate the feasibility and safety of motorized Spiral enteroscopy for difficult colonoscopies.
Interventions
The feasibility of the motorized spiral enteroscope to achieve cecum intubation in difficult colons.
The feasibility of the motorized spiral enteroscope for performing interventions such as polypectomy
Sponsors
Study design
Eligibility
Inclusion criteria
\- Indications for Spiral colonoscopy as a rescue procedure because of incomplete antecedent colonoscopy
Exclusion criteria
* Age under 18 years * Known pregnancy * Poor health status (ASA classification ≥ 4) * Contraindication for sedation or standard colonoscopy * Known coagulopathy (INR ≥ 2.0, platelets \< 70 /nl) or anticoagulants other than aspirin * Medical history of chronic inflammatory bowel disease or suspected bowel obstruction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluate the feasibility of motorized PowerSpiral enteroscopy for difficult colonoscopies | during procedure | achieving cecum intubation in difficult colons |
| evaluate the safety of motorized PowerSpiral enteroscopy for difficult colonoscopies | 7 days | Registering adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Endoscopic mucosal resection | during procedure | Performing endoscopic mucosal resection on polyps |
Countries
Netherlands