Backwards Examination of the Right Colon: A Back-to-back Study

NCT ID: NCT02838186

Last Updated: 2016-07-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

674 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2014-02-28

Brief Summary

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The aim of this study is to evaluate the examination of the proximal colon with the retroflexion colonoscopic technique in terms of feasibility and its possible additive contribution in the detection of important lesions, namely polyps and cancers.

Detailed Description

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The investigators prospectively examined the additional diagnostic yield of right colon examination with colonoscope retroflexion in consecutive, symptomatic and screening - surveillance patients. Right colon was examined in forward-view first and thereafter, retroflexion was performed to re-inspect it.

Conditions

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Colon Neoplasms

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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right colon in retroflexion

* polyp/adenoma detection
* feasibility

Group Type ACTIVE_COMPARATOR

retroflexion

Intervention Type PROCEDURE

examination of the right colon with scope retroflexion

right colon in forward view

polyp/adenoma detection

Group Type ACTIVE_COMPARATOR

forward view

Intervention Type PROCEDURE

examination of the right colon in forward view

Interventions

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retroflexion

examination of the right colon with scope retroflexion

Intervention Type PROCEDURE

forward view

examination of the right colon in forward view

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients undergoing elective colonoscopy in a Attikon University General Hospital.

Exclusion Criteria

* patients aged \<18 and \>80 years;
* right colectomy;
* recent abdominalsurgery;
* multiple diverticula of the right colon;
* American Society of Anesthesiology (ASA) physical status classification grade IV;
* inflammatory bowel disease and polyposis syndromes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Attikon Hospital

OTHER

Sponsor Role lead

Responsible Party

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ATHANASIOS SIOULAS

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Konstantinos Triantafyllou, Prof

Role: STUDY_DIRECTOR

Hepatogastroenterology Unit, 2nd Department of Internal Medicine and Research Institute, Attikon University General Hospital, University of Athens, Greece

Locations

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Attikon University General Hospital

Haidari, Attica, Greece

Site Status

Countries

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Greece

References

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van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol. 2006 Feb;101(2):343-50. doi: 10.1111/j.1572-0241.2006.00390.x.

Reference Type BACKGROUND
PMID: 16454841 (View on PubMed)

Vemulapalli KC, Rex DK. Evolving techniques in colonoscopy. Curr Opin Gastroenterol. 2011 Sep;27(5):430-8. doi: 10.1097/MOG.0b013e328349cfc0.

Reference Type BACKGROUND
PMID: 21785352 (View on PubMed)

Other Identifiers

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Retro-2013

Identifier Type: -

Identifier Source: org_study_id

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