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Water-aided insertion of the colonoscope has been repeatedly proven to beneficial in terms of lower discomfort and need for sedation during colonoscopy. Patients with inflammatory bowel diseases (IBD) undergo repeated colonoscopy in course of their disease. According to our preliminary experience, water immersion could be beneficial while scoping these patients. As far as the investigators know, water-aided colonoscopy has never been studied in this indication. Results of our trial might support use of water-aided colonoscopy in common practice and decrease associated discomfort in IBD patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Water immersion colonoscopy | Experimental | Water immersion during colonoscope insertion and room air insufflation during colonoscope withdrawal. |
|
| Air insufflation colonoscopy | Active Comparator | Standard room air insufflation during both colonoscope insertion and withdrawal. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Water immersion | Procedure | Water immersion means infusion of room temperature water during colonoscope insertion without air insufflation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Success rate of unsedated colonoscopy | Successful unsedated colonoscopy is defined as reaching the cecum by using given insertion technique without administering sedation. | at the end of each colonoscopy |
| Measure | Description | Time Frame |
|---|---|---|
| Discomfort during colonoscopy | Discomfort level using visual continuous scale 0-10 (0 = no pain, 10 = worst pain). | at the end of each colonoscopy |
| Cecal intubation time | Cecal intubation time is defined as time between colonoscope introduction into the anus and reaching the cecum. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Digestive Diseases Center, Vitkovice Hospital | Ostrava | 703 84 | Czechia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26040317 | Derived | Falt P, Smajstrla V, Fojtik P, Urban O, Hill M. Water-Aided Colonoscopy in Inflammatory Bowel Disease Patients-A Randomised, Single-Centre Trial. J Crohns Colitis. 2015 Sep;9(9):720-4. doi: 10.1093/ecco-jcc/jjv093. Epub 2015 Jun 3. |
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| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D003424 | Crohn Disease |
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
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| Air insufflation insertion | Procedure |
|
|
| while reaching the cecum |
| D003092 | Colitis |
| D003108 | Colonic Diseases |