Patient-posture and Ileal-intubation During Colonoscopy

Not Applicable

• Conditions: Colonoscopy
• Interventions: Procedure: Ileal intubation

• Registration Number: NCT01159886
• Lead Sponsor: Post Graduate Institute of Medical Education and Research, Chandigarh

Brief Summary

During colonoscopy, the colonoscopist employs various maneuvers, including changing the patient's posture to left-lateral decubitus or supine, to achieve complete colonoscopic examination. Posture change has also been reported to increase the success rate of ileal intubation. However, there has been no randomized trial which has shown that a particular posture of the patient increases the success rate of ileoscopy. The present study will be carried out to determine the impact of the patient's posture (left lateral vs supine position) on success rate of ileal intubation.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-06
• Status Verified: 2010-07
• Study First Submitted: 2010-07-09
• Study First Submitted QC: 2010-07-09
• Last Update Submitted: 2010-07-09
• Study First Posted: 2010-07-12
• Last Update Posted: 2010-07-12
• Primary Completion: 2011-01
• Study Completion: 2011-03

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 216

Inclusion Criteria

• All adult (> 12y old) patients referred for colonoscopy

Exclusion Criteria

• Acute fulminant colitis
• Acute Intestinal obstruction
• Suspected intestinal perforation
• Peritonitis
• Pregnancy
• Severe cardio-respiratory disease (ASA grade...)
• Decompensated liver disease
• Recent pelvic or colonic surgery (in last 6 months)
• Large aortic or ileac artery aneurysm
• Human Immunodeficiency Virus Infection
• Uncooperative patients

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
left lateral	Ileal intubation	After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus position. Then terminal ileal intubation will be attempted.
supine	Ileal intubation	After confirmation of cecal intubation, patient will undergo randomization to the supine position. Then terminal ileal intubation will be attempted.

Primary Outcome Measures

Name	Time	Method
Ileal intubation achieved or not	After confirmation of cecal intubation for no more than 6 minutes	After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Two points will be assessed: success in ileal intubation and time taken to intubate the ileum. If ileum is not intubated within 6 minutes, it will be considered as failed attempt.

Secondary Outcome Measures

Name	Time	Method
Time taken to intubate the ileum after cecal intubation	6 minutes after cecal intubation and randomisation
Depth of ileal intubation	2 minutes
Influence of endoscopist experience on successful ileal intubation	6 minutes
Abnormal ileal findings	2 minutes

Trial Locations

Locations (1)

School of Digestive and Liver Diseases (SDLD), IPGME & R, Kolkata; 🇮🇳 Kolkata, India