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This clinical trial is being conducted to assess whether second forward view examination of proximal colon could increase adenoma detection rate of right colon.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Second Examination | Experimental | Eligible patients who consent to participate undergo planned colonoscopy by endoscopists performing procedures that day per normal standard of care. The colonoscope is passed to the cecum and then withdrawn to the hepatic flexure with washing and aspirating of colonic contents as needed to optimize visualization of colonic mucosa. Then, the colonoscope is inserted to the cecum and withdrawn to the hepatic flexure again for second examination. |
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| Traditional Examinaiton | No Intervention | Eligible patients who consent to participate undergo planned colonoscopy by endoscopists performing procedures that day per normal standard of care. The colonoscope is passed to the cecum and then withdrawn to the hepatic flexure with washing and aspirating of colonic contents as needed to optimize visualization of colonic mucosa. Then, the colonoscope is withdrawn to the anus directly. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Second Examination | Procedure | The colonoscopy is passed to the cecum and then withdrawn to hepatic flexure. Then, the scopy is inserted to the cecum and withdrawn to hepatic flexure again for second foreard view examination. |
| Measure | Description | Time Frame |
|---|---|---|
| per-patient detection rate of adenoma of proximal colon | the number of patients with at least one adenoma identified divided by total number of patients completing colonoscopy | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ningbo NO.1 hospital | Ningbo | Zhejiang | 315010 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33971824 | Derived | Shan K, Lu H, Zhang Z, Xie J, Xu L, Wang W, Hu C, Xu L. Impact of second forward-view examination on adenoma detection rate during unsedated colonoscopy: a randomized controlled trial. BMC Gastroenterol. 2021 May 10;21(1):213. doi: 10.1186/s12876-021-01783-9. |
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