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The purpose of this physician blinded, randomized study is to determine the utility, effectiveness, and feasibility of using colonic irrigation as a substitute for standard oral colonic purgative solutions for colonoscopy preparation. Patients will be randomized to receive either oral isosmotic solution (PEG) or colonic irrigation using the Hydro San Plus Colon therapy system, an FDA approved and isosmotic (ISO) certified device for colonic irrigation and cleansing before endoscopic procedures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Isosmotic bowel cleansing preparation | Active Comparator | Isosmotic solution ingested prior to colonoscopy |
|
| Colonic Hyrdrotherapy | Active Comparator | Colonic hydrotherapy is an FDA approved method of colon cleansing using constant warm water lavage with a contained temperature and pressure controlled device administered by a trained technician.2 There |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Isosmotic bowel cleansing preparation | Other | Isosmotic Preps contain polyethylene glycol (PEG) and are osmotically balanced, high-volume, nonabsorbable, and nonfermentable electrolyte solutions. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of Boston Bowel Prep Score (BBPS) | Quality of bowel preparations validated by numerical scale for bowel cleanse (0-9 best) | 1 Day |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in Adenoma Detection Rate (ADR) | 1 Day | |
| Difference in the number of follow ups needed after colonoscopy | 1 Day | |
| Difference in overall comfort and convenience between Colonic Hydrotherapy and Isosmotic Irrigation using Boston Bowel Preparation Score (BBPS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Basil Lucak | New York University Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York University School of Medicine | New York | New York | 10016 | United States |
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| Colonic Hyrdrotherapy | Other | FDA approved method of colon cleansing using constant warm water lavage with a contained temperature and pressure controlled device administered by a trained technician |
|
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| 1 Day |
| preferences regarding type of bowel prep for future colonoscopy based on difference in score between Colonic Hydrotherapy and Isosmotic Irrigation using Boston Bowel Preparation Score (BBPS) | 1 Day |