Patient-posture and Ileal-intubation During Colonoscopy

Post Graduate Institute of Medical Education and Research, Chandigarh216 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Masking

NONE

Enrollment

216

Conditions

Colonoscopy

Interventions

Ileal intubationPROCEDURE

After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Partial suction and scope manoeuvres for ileal intubation will be allowed. Use of anti-peristalsis agents, use of biopsy forceps, as a guidewire or an ''anchor'' to facilitate the IC- valve intubation, and intubation in the retroflexed position will not be allowed.

Eligibility

Sex: ALLMin age: 12 Years

Medical Language ↔ Plain English

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

Locations (1)

School of Digestive and Liver Diseases (SDLD), IPGME & R, Kolkata

Kolkata, India

RECRUITING

Outcomes

Primary Outcomes

Ileal intubation achieved or not

After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Two points will be assessed: success in ileal intubation and time taken to intubate the ileum. If ileum is not intubated within 6 minutes, it will be considered as failed attempt.

Time frame: After confirmation of cecal intubation for no more than 6 minutes

Secondary Outcomes

Time taken to intubate the ileum after cecal intubation

Time frame: 6 minutes after cecal intubation and randomisation

Depth of ileal intubation

Time frame: 2 minutes

Influence of endoscopist experience on successful ileal intubation

Time frame: 6 minutes

Abnormal ileal findings

Time frame: 2 minutes

Central Contacts

Kshaunish Das, MD, DM

CONTACT

+91 9830349787 dockdas@gmail.com

Data from ClinicalTrials.gov

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