Combination of Water Immersion and Carbon Dioxide Insufflation for Minimal Sedation Colonoscopy

NCT ID: NCT01440543

Last Updated: 2013-01-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2011-09-30

Brief Summary

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Water immersion insertion and carbon dioxide (CO2)instead of room air insufflation as alternative colonoscopy techniques have been documented to decrease patient discomfort during and after the procedure.

This prospective, randomized, single-center trial was designed to evaluate whether the combination of water immersion during insertion and CO2 insufflation during withdrawal (Water/CO2)for minimal sedation colonoscopy (2 mg of midazolam i.v.)is superior to the other colonoscopy methods (Water/Air, CO2/CO2, Air/Air).

Detailed Description

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Conditions

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Colonoscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Water/CO2

water immersion during colonoscope insertion and CO2 insufflation during colonoscope withdrawal

Group Type EXPERIMENTAL

Water immersion insertion AND CO2 insufflation

Intervention Type PROCEDURE

* room temperature water infused by water pump into the colon just to facilitate scope insertion
* CO2 insufflation by CO2 insufflation system during colonoscope withdrawal and mucosal inspection

Water/Air

Water immersion during colonoscope insertion and air insufflation during colonoscope withdrawal

Group Type EXPERIMENTAL

Water immersion insertion

Intervention Type PROCEDURE

* room temperature water infused by water pump into the colon just to facilitate scope insertion
* standard room air insufflation during colonoscope withdrawal and mucosal inspection

CO2/CO2

CO2 insufflation during both colonoscope insertion and withdrawal

Group Type EXPERIMENTAL

CO2 insufflation

Intervention Type PROCEDURE

\- CO2 insufflation by CO2 insufflation system during both colonoscope insertion and withdrawal

Air/Air

room air insufflation during both colonoscope insertion and withdrawal

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Water immersion insertion AND CO2 insufflation

* room temperature water infused by water pump into the colon just to facilitate scope insertion
* CO2 insufflation by CO2 insufflation system during colonoscope withdrawal and mucosal inspection

Intervention Type PROCEDURE

Water immersion insertion

* room temperature water infused by water pump into the colon just to facilitate scope insertion
* standard room air insufflation during colonoscope withdrawal and mucosal inspection

Intervention Type PROCEDURE

CO2 insufflation

\- CO2 insufflation by CO2 insufflation system during both colonoscope insertion and withdrawal

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* men and women older than 18 years referred for diagnostic outpatient colonoscopy
* provided written consent

Exclusion Criteria

* history of colorectal surgery
* known diagnosis of inflammatory bowel disease
* chronic benzodiazepine use
* refusal of minimal sedation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vitkovice Hospital

OTHER

Sponsor Role lead

Responsible Party

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Premysl Falt MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Premysl Falt, MD

Role: PRINCIPAL_INVESTIGATOR

Digestive Diseases Center, Vitkovice Hospital, Ostrava, Czech Republic

Locations

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Digestive Diseases Center - Vitkovice Hospital

Ostrava, , Czechia

Site Status

Countries

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Czechia

References

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Falt P, Liberda M, Smajstrla V, Kliment M, Bartkova A, Tvrdik J, Fojtik P, Urban O. Combination of water immersion and carbon dioxide insufflation for minimal sedation colonoscopy: a prospective, randomized, single-center trial. Eur J Gastroenterol Hepatol. 2012 Aug;24(8):971-7. doi: 10.1097/MEG.0b013e3283543f16.

Reference Type RESULT
PMID: 22569079 (View on PubMed)

Other Identifiers

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DDC VN 01

Identifier Type: -

Identifier Source: org_study_id

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