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Right or Left for Colonoscopy?

Not Applicable
Completed
Conditions
Colonoscopy
Interventions
Procedure: starting position in colonoscopy
Registration Number
NCT02305706
Lead Sponsor
Imperial College Healthcare NHS Trust
Brief Summary

Colonoscopy is technically challenging. Conventionally, colonoscopy begins with patients positioned in the left lateral position. However, few published studies have explored alternatives and there is consequently little evidence to support left lateral starting position over alternatives.

Detailed Description

We aim to perform a randomised controlled trial of right versus left lateral starting position for colonoscopy. Primary outcome: time to caecum. Secondary outcomes: patient comfort; volume of sedation used.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
163
Inclusion Criteria
  • above 18 years of age,
  • informed consent,
  • routine or urgent procedures
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Exclusion Criteria
  • emergency colonoscopy,
  • scheduled intubation therapy
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Leftstarting position in colonoscopypatients will be positioned on the left-lateral position at the start of colonoscopy
Rightstarting position in colonoscopypatients will be positioned on the right-lateral position at the start of colonoscopy
Primary Outcome Measures
NameTimeMethod
time to caecum (insertion time from rectum to caecum)30 minutes

insertion time from rectum to caecum

Secondary Outcome Measures
NameTimeMethod
patient comfort (visual analogue score)5 minutes

patient comfort by visual analogue score

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