Colonoscopy Using Motorized Spiral Enteroscope

St. Antonius Hospital

Status: Completed

Conditions: Colon Disease

Treatments: Procedure: Therapeutic colonoscopy; Device: Diagnostic colonoscopy

Study type: Observational

Funder types: Other

Identifiers

NCT04895254

W2021.204

Details and patient eligibility

About

The new technology of the motorized Spiral enteroscope, originally developed for deep small bowel enteroscopy, might potentially overcome some limitations of standard colonoscopy.

Full description

Cecal intubation rate represents a key procedural quality parameter in diagnostic colonoscopy. However, even in experienced hands, a significant percentage of colonoscopies (1.6-16.7%) remain incomplete because of a failure to intubate the cecum. The new technology of the motorized Spiral enteroscope, originally developed for deep small bowel enteroscopy, might potentially overcome some limitations of standard colonoscopy. The study aim was to evaluate the feasibility and safety of motorized Spiral enteroscopy for difficult colonoscopies.

Enrollment: 36 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Indications for Spiral colonoscopy as a rescue procedure because of incomplete antecedent colonoscopy

Exclusion criteria

• Age under 18 years
• Known pregnancy
• Poor health status (ASA classification ≥ 4)
• Contraindication for sedation or standard colonoscopy
• Known coagulopathy (INR ≥ 2.0, platelets < 70 /nl) or anticoagulants other than aspirin
• Medical history of chronic inflammatory bowel disease or suspected bowel obstruction

Trial design

36 participants in 1 patient group

Experimental: Motorized spiral Enteroscopy

Description:

Consecutive patients with difficult colonoscopies to be enrolled to achieve total colonoscopy using the motorized spiral enteroscope.

Treatment:

Device: Diagnostic colonoscopy

Procedure: Therapeutic colonoscopy