Pain Clinical Trial
Official title:
Water Injection Colonoscopy vs Air Insufflation Colonoscopy in Training the Beginners
Water injection colonoscopy has been a generally accepted method in training the beginners of colonoscopy for its low pain and less cecal intubation time, we would conduct this study to investigate more advantages of this method and make most use of it for beginners' training.
Colonoscopy is the gold standard for diagnosing the large bowel diseases, caecum intubation
is the success of the colonoscopy, although with the progress of the function and the
technique, for most patients, when facing with inexperienced examiners, conventional air
insufflation colonoscopy is still a painful experience. Despite of the application of the
technique of abdomen compression, position change of the patients and the sedatives or
analgesics, to master well of the colonoscopy for the first-learners still needs much
practice.
Up to now, many studies has showed that compared with air insufflation colonoscopy,
water-related colonoscopy could shorten the cecal intubation time and relieve the pain of
the patients,especially for training the beginners,the effect was notable, but the present
researches on water assisted technique has still been confined to following aspects:1.Water
infusing was based on air insufflation; predetermined amount of water was infused ,and water
was infused while passing through certain segment of the bowel(such as the left half of
colon) ; 2.When training the first-learners, certain dose of sedatives or analgesics was
injected; 3.The patients recruited were less. Colonoscopies in this study would be performed
by in-training examiners, water would be injected completely instead of air insufflation
while advancing the colonoscope, the amount of the water infused would not be predetermined
but vary from individuals, and all the patients would be examined without any sedatives or
analgesics.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Diagnostic
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