NCT01919463

Brief Summary

The primary aim of this study is \- to explore the usefulness of abdominal compression on intubation. Other aims include

  1. 1.to investigate the effectiveness and the efficacy of different manners of abdominal compression and to analysis the reasons of their success and failure
  2. 2.to get the knowledge of the formation of colon loops and its frequency
  3. 3.to clarify the impact of intubation with loops on adenoma detection rate

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2015

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 6, 2013

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 9, 2013

Completed
1.6 years until next milestone

Study Start

First participant enrolled

March 1, 2015

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2015

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2016

Completed
Last Updated

March 3, 2015

Status Verified

March 1, 2015

Enrollment Period

5 months

First QC Date

August 6, 2013

Last Update Submit

March 2, 2015

Conditions

Keywords

ColonoscopyLower Gastrointestinal TractMagnetic Endoscopic ImagingAbdominal Compression

Outcome Measures

Primary Outcomes (1)

  • Mean Intubation Time (MIT)

    MIT refers to the mean of intubation time. Intubation time refers to the time spent on the intubation procedure. Intubation is defined as the procedure during which the tip of the colonoscope reaches the cecum from the anus.

    At the end of the procedure, up to 1 hour

Secondary Outcomes (5)

  • Cecal Intubation Rate (CIR)

    At the end of the procedure, up to 1 hour

  • Pain Score (PS)

    During the procedure, up to 1 hour

  • Severe Adverse Event Rate (SAER)

    The day of the procedure, 24 hours

  • Adenoma Detection Rate (ADR)

    At the end of the procedure, up to 1 hour

  • Polyp Detection Rate (PDR)

    At the end of the procedure, up to 1 hour

Study Arms (3)

Control Group

NO INTERVENTION

Colonoscopy is completed without abdominal compression by GI assistants. Live image of magnetic endoscopic imaging system is shown to investigators for study but not to the colonoscopist for facilitating the intubation process.

Experimental Group 2 (Monitoring)

EXPERIMENTAL

Colonoscopy is completed with abdominal compression by GI assistants. Live image of magnetic endoscopic imaging system is shown to investigators for study but not to the colonoscopist for facilitating the intubation process. The colonoscopist directs GI assistants to conduct compression by his subjective judgement.

Behavioral: Abdominal Compression

Experimental Group 1 (Guiding)

EXPERIMENTAL

Colonoscopy is completed with abdominal compression by GI assistants. Live image of magnetic endoscopic imaging system is shown both to investigators for study and to the colonoscopist for facilitating the intubation process. The colonoscopist directs GI assistants to conduct compression according to the guidance of magnetic endoscopic imaging system.

Behavioral: Abdominal CompressionDevice: Guidance of Magnetic Endoscopic Imaging (MEI) System

Interventions

Abdominal Compression is conducted by GI assistants during intubation process to facilitate the process. It can be conducted at different ares of the abdomen with different force.

Experimental Group 1 (Guiding)Experimental Group 2 (Monitoring)

Live image of MEI can show the form of the colonoscope inside the body. Live image is show to colonoscopist for facilitating the intubation process.

Also known as: MEI System (Olympas, Tokyo, Japan)
Experimental Group 1 (Guiding)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients who undergo colonoscopy examination for screening, surveillance, diagnosis or treatment

You may not qualify if:

  • Pregnant female patients
  • Patients who have history of colorectal cancer, colorectal polyposis, inflammatory bowel disease or heredity colorectal neoplasm syndrome such as familiar adenomatous polyposis, Lynch Syndrome and so on
  • Patients who had previous abdominal surgery
  • Patients who are known to have colonic stricture or obstructing tumor from the results of radiography (X ray, CT scan or barium enema)
  • Patients who are presenting acute surgical conditions such as severe colitis, megacolon and active gastrointestinal bleeding
  • Patients who have inadequate bowel preparation
  • Patients who reject to participate in this study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Changhai Hospital

Shanghai, Shanghai Municipality, 200433, China

RECRUITING

Related Publications (3)

  • Shah SG, Saunders BP, Brooker JC, Williams CB. Magnetic imaging of colonoscopy: an audit of looping, accuracy and ancillary maneuvers. Gastrointest Endosc. 2000 Jul;52(1):1-8. doi: 10.1067/mge.2000.107296.

    PMID: 10882954BACKGROUND
  • Holme O, Hoie O, Matre J, Stallemo A, Garborg K, Hasund A, Wiig H, Hoff G, Bretthauer M. Magnetic endoscopic imaging versus standard colonoscopy in a routine colonoscopy setting: a randomized, controlled trial. Gastrointest Endosc. 2011 Jun;73(6):1215-22. doi: 10.1016/j.gie.2011.01.054. Epub 2011 Apr 8.

    PMID: 21481862BACKGROUND
  • Cheung HY, Chung CC, Kwok SY, Tsang WW, Li MK. Improvement in colonoscopy performance with adjunctive magnetic endoscope imaging: a randomized controlled trial. Endoscopy. 2006 Mar;38(3):214-7. doi: 10.1055/s-2005-921172.

    PMID: 16528645BACKGROUND

MeSH Terms

Interventions

Drug Delivery Systems

Intervention Hierarchy (Ancestors)

Drug TherapyTherapeutics

Study Officials

  • En-Da Yu, M.D.

    Changhai Hospital, Shanghai, China

    PRINCIPAL INVESTIGATOR

Central Study Contacts

En-Da Yu, M.D.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Surgical Professor, Vice Director of Department of Colorectal Surgery and Center of GI Endoscopy

Study Record Dates

First Submitted

August 6, 2013

First Posted

August 9, 2013

Study Start

March 1, 2015

Primary Completion

August 1, 2015

Study Completion

February 1, 2016

Last Updated

March 3, 2015

Record last verified: 2015-03

Locations