Patient-posture and Ileal-intubation During Colonoscopy (PIC)

Post Graduate Institute of Medical Education and Research, Chandigarh

Status: Unknown

Conditions: Colonoscopy

Treatments: Procedure: Ileal intubation

Study type: Interventional

Funder types: Other

Identifiers

NCT01159886

SDLD001

Details and patient eligibility

About

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.

Enrollment: 216 estimated patients

Sex: All

Ages: 12+ years old

Volunteers: No Healthy Volunteers

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

Trial design

216 participants in 2 patient groups

left lateral

Active Comparator group

Description:

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

Treatment:

Procedure: Ileal intubation

supine

Active Comparator group

Description:

After confirmation of cecal intubation, patient will undergo randomization to the supine position. Then terminal ileal intubation will be attempted.

Treatment:

Procedure: Ileal intubation