Factors Predict Difficult Colonoscopy Before the Procedure: Prospective Registry Study
Study Details
Study Description
Brief Summary
In our study, we aim to evaluate the relationship between cecal intubation time during colonoscopies and factors such as the patient's age, body mass index, history of constipation, Wexner constipation score, antidepressant use, and previous abdominal surgery. The objective is to assess factors that may predict longer cecal intubation times, especially in difficult colonoscopies. Prior to the procedure, informed consent will be obtained from patients scheduled for colonoscopy in our unit, and relevant information will be recorded. During the procedure, data will be collected, including cecal intubation time, if ileal intubation is performed, and the total procedure time.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Our study is designed as a prospective single-center registry study and has been approved by the Ethics Committee of Sisli Hamidiye Etfal Training and Research Hospital on May 30, 2023. The inclusion criteria for our study involve patients scheduled for colonoscopy in our endoscopy unit who have not undergone colorectal surgery. Following informed consent obtained from patients before colonoscopy, data forms prepared by us will be completed, evaluating patients' age, height, weight, body mass index, colonoscopy indication, antidepressant use, and history of abdominal surgeries. Additionally, the Wexner constipation score will be calculated for each patient.
The time taken to reach the cecum and, if intubated, the ileum, from the initial insertion of the endoscope in colonoscopy, as well as the total procedure time, will be recorded using a chronometer. Patients with inadequate bowel preparation preventing cecal intubation will be excluded from the study. The collected data will be analysed to assess factors prolonging cecal intubation time and, if possible, to identify predictors for difficult colonoscopy before procedure.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Colonoscopy 18-95 years old patients apply our endoscopy unit for colonoscopy will be included in our study. Patients that have colonic resection history will be excluded from study. |
Outcome Measures
Primary Outcome Measures
- Cecal intubation rate [During the colonoscopy]
The rate of reaching the cecum in all colonoscopies performed
- Ileal intubation rate [During the colonoscopy]
The rate of reaching the terminal ileum in all colonoscopies performed
- Cecal intubation time [During the colonoscopy]
Time for reaching caecum starting from endoscope insertion, this time will recorded by chronometer and recorded as minutes
- Ileal intubation time [During the colonoscopy]
Time for reaching ileum starting from endoscope insertion, this time will recorded by chronometer and recorded as minutes
Secondary Outcome Measures
- Adenoma detection rate [During the colonoscopy]
The rate at which endoscopists find one or more adenoma during colonoscopies
Eligibility Criteria
Criteria
Inclusion Criteria:
- 18-95 years old, admitted for colonoscopy
Exclusion Criteria:
- Colonic resection history
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sisli Hamidiye Etfal Research and Training Hospital | Istanbul | Turkey |
Sponsors and Collaborators
- Sisli Hamidiye Etfal Training and Research Hospital
Investigators
- Principal Investigator: Burak Dincer, MD, Sisli Hamidiye Etfal Training and Research Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 30.05.2023-3951