Right or Left for Colonoscopy?

Imperial College Healthcare NHS Trust163 enrolled

Overview

Colonoscopy is technically challenging. Conventionally, colonoscopy begins with patients positioned in the left lateral position. However, few published studies have explored alternatives and there is consequently little evidence to support left lateral starting position over alternatives.

We aim to perform a randomised controlled trial of right versus left lateral starting position for colonoscopy. Primary outcome: time to caecum. Secondary outcomes: patient comfort; volume of sedation used.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

163

Conditions

Colonoscopy

Interventions

starting position in colonoscopyPROCEDURE

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * above 18 years of age, * informed consent, * routine or urgent procedures Exclusion Criteria: * emergency colonoscopy, * scheduled intubation therapy

Outcomes

Primary Outcomes

time to caecum (insertion time from rectum to caecum)

insertion time from rectum to caecum

Time frame: 30 minutes

Secondary Outcomes

patient comfort (visual analogue score)

patient comfort by visual analogue score

Time frame: 5 minutes

Data from ClinicalTrials.gov

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