Warm Water Versus Room Temperature Water Immersion Colonoscopy

NCT ID: NCT01582178

Last Updated: 2013-09-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

212 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2012-10-31

Brief Summary

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Water immersion insertion has been documented to decrease procedure-related discomfort during colonoscopy. There was used warm water infusion for colonoscope insertion in most of the water immersion colonoscopy trials.

The investigators have been using room temperature water (20-24°C) for water immersion and the investigators did not notice any drawback of it. In our opinion, it is simpler and cheaper option for water immersion colonoscopy and proof of its efficacy and safety could support the use of water immersion technique in routine practice.

The primary endpoint is cecal intubation time and the investigators suppose that the use of warm water infusion does not shorten it significantly. Patient comfort during colonoscope insertion, water consumption, length of the scope while reaching the cecum, need for external compression, need for positioning of the patient and endoscopist´s difficulty with colonoscopy will be also assessed.

Detailed Description

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Conditions

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Colorectal Cancer

Keywords

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colonoscopy warm water immersion cool water immersion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Warm Water Immersion Colonoscopy

Colonoscopy using purely warm water (37°C) infusion during colonoscope insertion and room air insufflation during colonoscope withdrawal.

Group Type EXPERIMENTAL

Warm Water Immersion Colonoscopy

Intervention Type PROCEDURE

Colonoscopy using warm water (37°C) infusion for colonoscope insertion and room air insufflation during colonoscope withdrawal.

Cool Water Immersion Colonoscopy

Colonoscopy using purely room temperature water (20-24°C) infusion during colonoscope insertion and room air insufflation during colonoscope withdrawal.

Group Type ACTIVE_COMPARATOR

Cool Water Immersion Colonoscopy

Intervention Type PROCEDURE

Colonoscopy using room temperature water (20-24°C) infusion for colonoscope insertion and room air insufflation during colonoscope withdrawal.

Interventions

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Warm Water Immersion Colonoscopy

Colonoscopy using warm water (37°C) infusion for colonoscope insertion and room air insufflation during colonoscope withdrawal.

Intervention Type PROCEDURE

Cool Water Immersion Colonoscopy

Colonoscopy using room temperature water (20-24°C) infusion for colonoscope insertion and room air insufflation during colonoscope withdrawal.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* outpatient diagnostic colonoscopy
* bowel prep with macrogolum
* initial 2 mg of midazolam i.v.
* signed informed consent form

Exclusion Criteria

* planned therapeutic intervention
* colorectal surgery in history
* known inflammatory bowel disease or colorectal cancer
* refusal of 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

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, Smajstrla V, Fojtik P, Tvrdik J, Urban O. Cool water vs warm water immersion for minimal sedation colonoscopy: a double-blind randomized trial. Colorectal Dis. 2013;15(10):e612-7. doi: 10.1111/codi.12336.

Reference Type BACKGROUND
PMID: 23819909 (View on PubMed)

Other Identifiers

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DDC VN 04

Identifier Type: -

Identifier Source: org_study_id