Division of Gastroenterology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colon Disease
- Sponsor
- Dalin Tzu Chi General Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- cecal insertion time
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This prospective randomized controlled trial is to compare evaluate the optimal procedure sequence among patients undergoing water exchange colonoscopy.
Detailed Description
Same-day esophagogastroduodenoscopy (EGD) and colonoscopy (bidirectional endoscopy; BDE) are commonly performed to evaluate for gastrointestinal conditions, such as active gastrointestinal bleeding, iron deficiency anemia, positive fecal occult blood tests and abdominal pain. EGD-colonoscopy sequence seems to be the reasonable choice for BDE using air or CO2. With the use of water exchange method, endoscopists have to remove the dirty fecal material and air bubble during insertion. Gas insufflated during EGD may get into the colon and make subsequent water exchange colonoscopy more difficult. The aim of this prospective randomized controlled trial is to compare evaluate the optimal procedure sequence among patients undergoing water exchange colonoscopy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients underwent fully sedated bidirectional endoscopy in the physical check-up department
Exclusion Criteria
- •Patients who \< 18 years old, \> 80 years old
- •Without standard colon preparation
- •Allergy to meperidine or propofol
- •With a history of partial colectomy
- •Refusal to provide written informed consent
- •American Society of Anesthesiology (ASA) risk Class 3 or higher
Outcomes
Primary Outcomes
cecal insertion time
Time Frame: 30 minutes
Cecal insertion time was defined as the time from insertion into the rectum to the time when the colonoscope tip passed to a point proximal to the ileocecal valve so that the base of cecum was visible.