A tortuous sigmoid colon makes colonoscopy difficult. The purpose of this study was to systematically evaluate the diagnostic utility and incidence of adverse events in women using standard horizontal compared to lateral tilt down positioning for colonoscopy.
This was a prospective, randomized study. Subjects who provide informed consent and present to the offices of Specialists in Gastroenterology for colonoscopy will be randomized in a 1:1 distribution to either left lateral tilt down versus left lateral horizontal positioning to initiate colonoscopy. Demographic data as well as routine information regarding the colonoscopy was filled out during or at the end of each procedure. In addition, the following parameters were assessed, and compared between groups: 1. Occurrence of complications related or possibly related to the colonoscopy procedure 2. Scope insertion time 3. Pain during and after the procedure The subjects' participation was limited to the duration of the colonoscopy, which is typically less than 60 min and a follow up by telephone 24 hours later to assess the occurrence of complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
173
colonoscopy in the lateral horizontal position with tilt down
Advanced Endoscopy Center
St Louis, Missouri, United States
Number of Participants Who Experience Adverse Events Which Are Related or Possibly Related to the Colonoscopy Procedure
The number of participants who experience adverse events which are related or possibly related to the colonoscopy procedure will be tallied in each treatment arm.
Time frame: 24 hours
Time to Full Colonoscope Insertion
Time frame: 30 minutes
Pain Related or Possibly Related to Colonoscopy Procedure
Visual Analogue Scale measured 0-4 with zero being no pain and 4 being most severe pain.
Time frame: 24 hours
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