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Water Immersion and Polyp Detection: A Randomized Controlled Trial

W

White River Junction Veterans Affairs Medical Center

Status

Completed

Conditions

Colonic Neoplasms
Adenoma

Treatments

Procedure: CO2 Insufflation First
Procedure: Water Infusion first

Study type

Interventional

Funder types

Other
Other U.S. Federal agency

Identifiers

NCT03231917
1000344-1

Details and patient eligibility

About

We plan to conduct a randomized trial of tandem colonoscopies comparing water infusion and air insufflation for inspection of mucosa on withdrawal. In one randomized group, water infusion will be employed as the first method for mucosal inspection while in a second group, CO2 insufflation will be used first. This study will be different than usual care since the participants will receive two successive or tandem colonoscopies versus one

Enrollment

121 patients

Sex

All

Ages

50+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • all adults 50 years or older who present for colonoscopy at White River Junction VAMC and Indiana University

Exclusion criteria

  • includes co-morbid status of ASA III or higher, Inflammatory Bowel Disease (IBD), surgical resection of the large bowel, as well as the use of anticoagulants. Finally, potential subjects who do not report a clear effluent in the most recent bowel movement will be excluded from the study.

Trial design

Primary purpose

Screening

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

None (Open label)

121 participants in 2 patient groups

Water Infusion first
Experimental group
Description:
In this group patients will receive a colonoscopy with water infusion for mucosal inspection and then receive a colonoscopy with CO2 insufflation.
Treatment:
Procedure: Water Infusion first
CO2 Insufflation First
Experimental group
Description:
In this group patients will receive a colonoscopy with CO2 insufflation for mucosal inspection and then receive a colonoscopy with water infusion.
Treatment:
Procedure: CO2 Insufflation First

Trial documents
1

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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