Intubation Techniques on Colonoscopy Quality (SINOCOLO2013) (SINOCOLO2013)
Intubation Techniques on Colonoscopy Quality: A Single Center Randomized Control Clinical Trial
The primary aim of this study is
- to explore the usefulness of abdominal compression on intubation.
Other aims include
- to investigate the effectiveness and the efficacy of different manners of abdominal compression and to analysis the reasons of their success and failure
- to get the knowledge of the formation of colon loops and its frequency
- to clarify the impact of intubation with loops on adenoma detection rate
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: En-Da Yu, M.D.
- Phone Number: 08615921509177
- Email: endayu@yeah.net
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200433
- Recruiting
- Changhai Hospital
-
Contact:
- En-Da Yu, M.D.
- Phone Number: 08615921509177
-
Principal Investigator:
- En-Da Yu, M.D.
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients who undergo colonoscopy examination for screening, surveillance, diagnosis or treatment
Exclusion Criteria:
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Control Group
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: Experimental Group 2 (Monitoring)
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.
|
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: Experimental Group 1 (Guiding)
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.
|
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.
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.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Intubation Time (MIT)
Time Frame: At the end of the procedure, up to 1 hour
|
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 Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cecal Intubation Rate (CIR)
Time Frame: At the end of the procedure, up to 1 hour
|
CIR refers to the proportion of the subjects who receive the whole colon examination.
The whole colon examination means the tip of the colonoscope reaches the cecum during the procedure.
|
At the end of the procedure, up to 1 hour
|
|
Pain Score (PS)
Time Frame: During the procedure, up to 1 hour
|
PS is measure by the numerical rating scale during the intubation process.
Numerical rating scale contains 11 ranks from 0 to 10, in which 0 means no pain and 10 means the extreme pain cannot be borne.
|
During the procedure, up to 1 hour
|
|
Severe Adverse Event Rate (SAER)
Time Frame: The day of the procedure, 24 hours
|
SAER refers to the proportion of the subjects to whom severe adverse events happens.
Severe adverse events include perforation, massive hemorrhage, lethal arrhythmia, death and so on.
|
The day of the procedure, 24 hours
|
|
Adenoma Detection Rate (ADR)
Time Frame: At the end of the procedure, up to 1 hour
|
ADR refer to the rate of adenoma detection, calculated as the proportion of subjects with at least one adenoma.
|
At the end of the procedure, up to 1 hour
|
|
Polyp Detection Rate (PDR)
Time Frame: At the end of the procedure, up to 1 hour
|
PDR refer to the rate of polyp detection, calculated as the proportion of subjects with at least one polyp.
|
At the end of the procedure, up to 1 hour
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: En-Da Yu, M.D., Changhai hospital, Shanghai, China
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SINOCOLO2013
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