Water-aided Colonoscopy in Inflammatory Bowel Disease Patients

Vitkovice Hospital

Status: Completed

Conditions: Inflammatory Bowel Disease

Treatments: Procedure: Air insufflation insertion; Procedure: Water immersion

Study type: Interventional

Funder types: Other

Identifiers

NCT01933867

DDC VN 06

Details and patient eligibility

About

Water-aided insertion of the colonoscope has been repeatedly proven to beneficial in terms of lower discomfort and need for sedation during colonoscopy. Patients with inflammatory bowel diseases (IBD) undergo repeated colonoscopy in course of their disease. According to our preliminary experience, water immersion could be beneficial while scoping these patients. As far as the investigators know, water-aided colonoscopy has never been studied in this indication. Results of our trial might support use of water-aided colonoscopy in common practice and decrease associated discomfort in IBD patients.

Enrollment: 92 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• known diagnosis of inflammatory bowel disease
• planned diagnostic outpatient colonoscopy
• signed informed consent
• willingness to undergo unsedated colonoscopy

Exclusion criteria

• ulcerative proctitis
• bowel resection longer than ileocecal resection
• requirement for sedation

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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92 participants in 2 patient groups

Water immersion colonoscopy

Experimental group

Description:

Water immersion during colonoscope insertion and room air insufflation during colonoscope withdrawal.

Treatment:

Procedure: Water immersion

Air insufflation colonoscopy

Active Comparator group

Description:

Standard room air insufflation during both colonoscope insertion and withdrawal.

Treatment:

Procedure: Air insufflation insertion