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Usefulness of Cap-assisted Colonoscopy in Patients With Prior Abdominal Surgery

Not Applicable
Conditions
Insertion Time
Interventions
Device: Standard colonoscopy
Device: cap-assisted colonoscopy
Registration Number
NCT03016962
Lead Sponsor
The Catholic University of Korea
Brief Summary

The potential benefit of using the cap is that it helps in luminal orientation at bends by keeping the colonic mucosa away from the lens at the colonoscope tip. Colonoscopy in patients with a history of abdominal surgery is considered to be difficult due to adhesion-related bowel angulations. There were few study evaluating usefulness of cap-assisted colonoscopy in patients with prior abdominal surgery. The investigators designed a randomized, controlled trial to verify the usefulness of cap-assisted colonoscopy in patients with prior abdominal surgery.

Detailed Description

The potential benefit of using the cap is that it helps in luminal orientation at bends by keeping the colonic mucosa away from the lens at the colonoscope tip. This assists in negotiating sharp turns by better anticipation of the direction. Cap-assisted colonoscopy can be tried as a salvage procedure in cases of failed cecal intubation with regular colonoscopy. Colonoscopy in patients with a history of abdominal surgery is considered to be difficult due to adhesion-related bowel angulations. There were few study evaluating usefulness of cap-assisted colonoscopy in patients with prior abdominal surgery. The investigators designed a randomized, controlled trial to verify the usefulness of cap-assisted colonoscopy in patients with prior abdominal surgery.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1046
Inclusion Criteria
  • Patients with history of abdominal or pelvic surgery
Exclusion Criteria
  • Previous colorectal resection

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standard colonoscopyStandard colonoscopyStandard colonoscopy
Cap-assisted colonoscopycap-assisted colonoscopycap-assisted colonoscopy
Primary Outcome Measures
NameTimeMethod
Insertion timeDay 1
Secondary Outcome Measures
NameTimeMethod
Patient discomfortDay 1

10-point visual analog scale

Overall technical easeDay 1

10-point visual analog scale

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