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EndoRings Colonoscopy vs Standard Colonoscopy

Not Applicable
Completed
Conditions
Colorectal Polyp
Colon Cancer
Colorectal Adenoma
Interventions
Device: EndoRings device
Registration Number
NCT03418662
Lead Sponsor
Indiana University
Brief Summary

The study aims to compare the results between a standard colonoscopy to a colonoscopy with an attachment on the distal end of the colonoscope.

Detailed Description

This will be a prospective, randomized controlled study. Subjects referred for screening or surveillance colonoscopy will be prospectively enrolled. This study aims to compare the adenoma detection rates between EndoRings colonoscopy (EC) and Standard colonoscopy (SC). It is assumed that the proportion of patients with at least one adenoma would be 25% with SC and 35% with EC.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
592
Inclusion Criteria
  • Screening or Surveillance Colonoscopy
  • Able to provide written informed consent
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Exclusion Criteria
  • Known narrow colon or colon stenosis
  • Personal history of Colorectal cancer
  • History of inflammatory bowel disease
  • Familial adenomatous polyposis syndrome (FAP)
  • Hyperplastic polyposis syndrome
  • Referral for incomplete colonoscopy or polyp clearance
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
EndoRings ColonoscopyEndoRings deviceColonoscopy with EndoRings device attached to the distal end of the scope.
Primary Outcome Measures
NameTimeMethod
Adenoma Detection RatesDuring colonoscopy procedure

Number of participants with at least one adenoma detected, during Standard Colonoscopy compared with colonoscopy with EndoRings.

Number of Adenomas Per ColonoscopyDuring colonoscopy procedure

Comparison of the number of adenomas detected per colonoscopy between standard colonoscopy and EndoRings colonoscopy.

Secondary Outcome Measures
NameTimeMethod
Polyp Detection RateDuring colonoscopy procedure

Number of subjects with at least one polyp detected with Standard Colonoscopy compared to colonoscopy with EndoRings.

Problems Encountered With EquipmentDuring colonoscopy procedure

Occurrences of slippage of EndoRings or of device being removed on insertion.

Total Number of DetectionsDuring colonoscopy procedure

Comparison of the total number of polyps detected and the total number of adenomas detected between EndoRings colonoscopy and Standard colonoscopy.

Cecal Intubation RateDuring colonoscopy procedure

Comparison of cecal intubation rate (the number of procedures where the colonoscope was able to be inserted all the way to the cecum) between standard colonoscopy and EndoRings colonoscopy.

Time Comparison for Each MethodDuring colonoscopy procedure

Comparison of the time required to reach the cecum, withdrawal time, and total procedure time.

Insertion time: time required to reach the cecum Withdrawal time: time calculated from when withdrawing is started in the cecum till the colonoscope is removed. This includes time spent washing, inspecting the colon and removing polyps.

Total procedure time: This is the sum of insertion and withdrawal times along with any time spent washing or removing polyps while in the cecum (before starting withdrawal).

Number of Detections Per ColonoscopyDuring colonoscopy procedure

Comparison of the number of polyps detected per colonoscopy between EndoRings colonoscopy and Standard colonoscopy.

Patient Comfort ScoreAfter colonoscopy was completed while patient was in recovery area of endoscopy unit

Comparison of patient comfort between Standard colonoscopy and EndoRings colonoscopy on a scale of 0 to 10 with 0 being no pain (best outcome) and 10 being worst imaginable pain (worst outcome).

Trial Locations

Locations (1)

Indiana University

🇺🇸

Indianapolis, Indiana, United States

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