Comparison of Adenoma Detection by Polypectomy During Both Insertion and Withdrawal Versus Only Withdrawal of Colonoscopy: a Randomized, Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 1,142
- Primary Endpoint
- Adenoma detection rate
Study Overview
Brief Summary
Standard method of colonoscopy is to insert the colonoscope rapidly to reach the cecum, with careful inspection and polypectomy during the withdrawal phase. However, small polyps (e.g. <1cm) seen during insertion phase are difficult to find during withdrawal phase. Also, colon is in different conformation during insertion and withdrawal phases. We think careful inspection and polypectomy during both insertion and withdrawal can improve adenoma detection rate.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patient undergoing screening or surveillance colonoscopy
Exclusion Criteria
- •Previous colorectal resection, Polyposis syndrome, Inflammatory bowel disease
Arms & Interventions
Both insertion and withdrawal
Intervention: Both insertion and withdrawal (Procedure)
Only withdrawal
Intervention: Only withdrawal (Procedure)
Outcomes
Primary Outcomes
Adenoma detection rate
Time Frame: 4 weeks
Secondary Outcomes
- Number of adenoma per patient(4 weeks)
Investigators
Jeong-Seon Ji
Dr
The Catholic University of Korea
