Supine Position for Colonoscopy Insertion

NCT03289442 | Completed DMC

• 1 other identifier: position-2
• Study Type: interventional
• Target: 347
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether the supine position is better than the left lateral horizontal body position to decrease cecal intubation time, patients' pain and the difficulty of colonoscopy insertion.

Conditions

Colonoscopy Insertion; Patient Position

Outcome Measures

Primary Outcomes (1)

• cecal intubation time

  Cecal intubation time is the insertion time taken from first visualization of rectal mucosa to cecum and cecal intubation was confirmed by identifying the characteristic anatomical landmarks of the triradiate fold, appendiceal orifice, and ileocecal valve.

  2 hour

Secondary Outcomes (3)

• descending colon intubation time

  1 hour

• patients' pain score

  3 hour

• patients' acceptance to unsedated or sedated colonoscopy in the future screening or examination

  3 hour

Study Arms (2)

supine position group

EXPERIMENTAL

Procedure: supine position

left lateral position

NO INTERVENTION

Interventions

supine position PROCEDURE

patients were positioned on their supine position to receive colonoscopy insertion

supine position group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged between 18-75 years
• underwent screening, surveillance, and diagnostic colonoscopy

You may not qualify if:

• \<18 or \>75 years old
• major psychiatric disorders, colonic resection, pregnancy, presence of any contraindications for colonoscopy (eg, severe heart failure, renal insufficiency)
• Patients with severe cardiopulmonary and renal disease
• Patients who are unwilling or unable to consent

Sponsors & Collaborators

• Changhai Hospital: lead
• No.85 Hospital, Changning, Shanghai, China: collaborator

Study Sites (1)

Changhai Hospital, Second Military Medical University

Shanghai, 200433, China

Location

Related Publications (3)

• Willcock H, Gold DM. Supine Colonoscopy: An Advantage over Left Lateral in Synchronous Proctological Surgery. J Laparoendosc Adv Surg Tech A. 2016 Jun;26(6):475-7. doi: 10.1089/lap.2015.0609. Epub 2016 Mar 16.

  PMID: 26982385 RESULT

• Waye JD, Yessayan SA, Lewis BS, Fabry TL. The technique of abdominal pressure in total colonoscopy. Gastrointest Endosc. 1991 Mar-Apr;37(2):147-51. doi: 10.1016/s0016-5107(91)70673-1.

  PMID: 2032597 RESULT

• Zhao S, Yang X, Meng Q, Wang S, Fang J, Qian W, Xia T, Pan P, Wang Z, Gu L, Chang X, Zou D, Li Z, Bai Y. Impact of the supine position versus left horizontal position on colonoscopy insertion: a 2-center, randomized controlled trial. Gastrointest Endosc. 2019 Jun;89(6):1193-1201.e1. doi: 10.1016/j.gie.2019.01.009. Epub 2019 Jan 18.

  PMID: 30660634 DERIVED

MeSH Terms

Interventions

Supine Position

Intervention Hierarchy (Ancestors)

Posture; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Head of Department of Gastroenterology, Principal Investigator, Clinical Professor

Study Record Dates

• First Submitted: September 17, 2017
• First Posted: September 21, 2017
• Study Start: August 1, 2017
• Primary Completion: January 1, 2018
• Study Completion: July 1, 2018
• Last Updated: November 2, 2018

Record last verified: 2018-10

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)