Good distension of the colon during colonoscopy is essential to detect polyps. Gas sometimes escapes the colon through the anus resulting in compromised distension. Pressure on gluteal muscles when the colonoscope tip is in the left colon might help preventing this and thus increase visibility. No previous study looked at this.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
QUADRUPLE
Enrollment
89
During procedure, the doctor performing colonoscopy will ask for gluteal pressure. The technician will perform the maneuver, but the doctor will be blinded as the arms of the technician along with the patients behind are covered by a towel.
During procedure, the doctor performing colonoscopy will ask for gluteal pressure. The technician will not perform the maneuver, but the doctor will be blinded as the arms of the technician along with the patients behind are covered by a towel.
IU Health University Hospital
Indianapolis, Indiana, United States
Spring Mill Medical Center
Indianapolis, Indiana, United States
Left colon distension score
Provider reported distension score in the left colon
Time frame: during the procedure
Left colon withdrawal time
Time taken to withdraw the scope in the left colon
Time frame: during the procedure
Left colon examination time
Time taken to inspect during left colon withdrawal
Time frame: during the procedure
Left colon adenoma detection rate
proportion of patients with at least one left colon adenoma
Time frame: during the procedure
Left colon sessile serrated lesion detection rate
proportion of patients with at least one left colon sessile serrated lesion
Time frame: during the procedure
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