Positioning During Colonoscopy
- Conditions
- Colonic Polyps
- Interventions
- Procedure: Colonoscopy
- Registration Number
- NCT01254435
- Brief Summary
Colonoscopy is the gold standard investigation in the screening of colorectal neoplasms. The investigators hypothesise that visualisation of the colonic mucosa on extubation may be improved by changing patient position as follows: left lateral position for the right colon, supine for the transverse colon and right lateral position for the left colon(fixed positioning). The investigators aim to validate our hypothesis by performing a randomised control study, comparing mucosal visualisation in patients placed in the 'routine' positions at the discretion of the endoscopist with visualisation in those placed in the above described positions. The hypothesis is that fixed positioning confers an advantage.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 41
- Patients requiring colonoscopy
- Polyp surveillance
- Cancer surveillance
- Infirmity
- Pregnancy
- Colectomy
- Poor tolerance
- Failed colonoscopy
- Poor bowel preparation
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description 'Free' positioning withdrawal Colonoscopy Withdrawal of the colonoscope with the patient positioned at the discretion of the endoscopist 'Fixed' position withdrawal Colonoscopy Patient positioned in the left lateral position to visualise the caecum, ascending colon and hepatic flexure; supine to visualise the transverse colon; and in the right lateral position to visualise the splenic flexure, descending colon and the sigmoid colon
- Primary Outcome Measures
Name Time Method Mucosal visualisation 3 months Made by video assessment of colonoscopic withdrawal
Luminal distension
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Sheffield Teaching Hospitals NHS Trust
🇬🇧Sheffield, South Yorkshire, United Kingdom