Pain Clinical Trial
Official title:
Water Colonoscopy Versus Air Colonoscopy for Unsedated Patients With Prior Abdominal or Pelvic Surgery: a Prospective Randomized, Controlled Trial
Water method with water exchange has been shown to reduce medication requirement and pain
experienced during colonoscopy. It increases the success rate of cecal intubation in sedated
and unsedated patients undergoing screening colonoscopy. Exchange of water during scope
insertion minimizes distension of the colonic lumen and decreases loop formation. Exclusion
of air from the colon during insertion by omission of air insufflations and suction removal
of residual air prevent elongation of the colon. These maneuvers facilitate colonoscopy
insertion in average patients and may enhance the success of difficult colonoscopy.
Prior abdominal or pelvic surgery is an independent factor for difficult colonoscopy, the
probable adhesion may change the anatomy and increase the discomfort of patients. We
postulate that these patients may benefit from using the water method for colonoscopy. In
this proposal we test the hypothesis that compared with conventional air insufflations the
water method with water exchange significantly enhances the success rate of cecal intubation
in patients with prior abdominal or pelvic surgery.
The aim of the study is to compare the outcome of colonoscopy using the water method versus
the conventional air method in patients with prior abdominal or pelvic surgery. The primary
outcome is cecal intubation success rate. The secondary outcomes include cecal intubation
time, maximum pain score during colonoscopy, overall pain score after colonoscopy and
adenoma detection rate.
n/a
Observational Model: Case Control, Time Perspective: Prospective
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