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During colonoscopy, the colonoscopist employs various maneuvers, including changing the patient's posture to left-lateral decubitus or supine, to achieve complete colonoscopic examination. Posture change has also been reported to increase the success rate of ileal intubation. However, there has been no randomized trial which has shown that a particular posture of the patient increases the success rate of ileoscopy. The present study will be carried out to determine the impact of the patient's posture (left lateral vs supine position) on success rate of ileal intubation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| left lateral | Active Comparator | After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus position. Then terminal ileal intubation will be attempted. |
|
| supine | Active Comparator | After confirmation of cecal intubation, patient will undergo randomization to the supine position. Then terminal ileal intubation will be attempted. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ileal intubation | Procedure | After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Partial suction and scope manoeuvres for ileal intubation will be allowed. Use of anti-peristalsis agents, use of biopsy forceps, as a guidewire or an ''anchor'' to facilitate the IC- valve intubation, and intubation in the retroflexed position will not be allowed. |
| Measure | Description | Time Frame |
|---|---|---|
| Ileal intubation achieved or not | After confirmation of cecal intubation, patient will undergo randomization to either the left-lateral decubitus or supine position. Then terminal ileal intubation will be attempted. Two points will be assessed: success in ileal intubation and time taken to intubate the ileum. If ileum is not intubated within 6 minutes, it will be considered as failed attempt. | After confirmation of cecal intubation for no more than 6 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Time taken to intubate the ileum after cecal intubation | 6 minutes after cecal intubation and randomisation | |
| Depth of ileal intubation | 2 minutes | |
| Influence of endoscopist experience on successful ileal intubation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kshaunish Das, MD, DM | Contact | +91 9830349787 | dockdas@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Kshaunish Das, MD, DM | Associate Professor, Division of Gastroenterology, SDLD, IPGME & R, Kolkata-700020 | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of Digestive and Liver Diseases (SDLD), IPGME & R, Kolkata | Recruiting | Kolkata | 700020 | India |
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| ID | Term |
|---|---|
| D014376 | Tuberculosis |
| ID | Term |
|---|---|
| D009164 | Mycobacterium Infections |
| D000193 | Actinomycetales Infections |
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
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|
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| 6 minutes |
| Abnormal ileal findings | 2 minutes |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |