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Colonoscopy is one of the most common endoscopic procedures today. However, it sometimes can be a serious challenging situation both for the clinicians and patients. In this study, the investigators tried to determine which colonoscopic position allows easy, fast and comfortable way.
colonoscopy and colonoscopic screening are the most common routine studies to reduce the incidence of colorectal cancer.In this process, the most important problem for the endoscopist and the patient is pain, loop formation, (the reason why the device is not able to progress in the bowel) and in some patients it takes a long time due to these reasons and the risk of complication development.The subject of what should be the most ideal position in colonoscopy has previously been studied in some specific subgroups.There is not enough study on what should be the ideal position in colonoscopy. In this study, the investigators tried to determine which colonoscopic position allows easy, fast and comfortable way.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Left Position during colonoscopy | Active Comparator | Left position, the patient will be in the left-side position during the entire colonoscopy period. If necessary, change of position and pressure will be allowed. During this procedure, the time to reach the cecum and terminal ileum, patient comfort, and the process memory lost will be measured.Moreover, process recall, sedation amounts and pain scale will be measured after the procedure..During the process, it will be examined whether there is any need for loop formation, repositioning requirement and pressure requirements. The type and amount of anesthetic agent (midazolam) used during the process is paid attention to be equal. All procedures will be done with the same brand device. After the procedure, a mini questionnaire will be applied to the patients for the pain scale. |
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| Left Supine Position during colonoscopy | Active Comparator | Left Supine position, the patient will be in the left and supine ( after splenic flexura) position during the entire colonoscopy period. If necessary, change of position and pressure will be allowed. During this procedure, the time to reach the cecum and terminal ileum, patient comfort, and the process memory lost will be measured. |
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| Dynamic position during colonoscopy | Active Comparator | Dynamic position, the patient will be stared as left position during colonoscopy period. If necessary, change of position and pressure will be allowed at any time. During this procedure, the time to reach the cecum and terminal ileum, patient comfort, and the process memory lost will be measured..During the process, it will be examined whether there is any need for loop formation, repositioning requirement and pressure requirements. The type and amount of anesthetic agent used during the process is paid attention to be equal. The use of midazolam as an anesthetic agent was planned.All procedures will be done with the same brand device. After the procedure, a mini questionnaire will be applied to the patients for the pain scale. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| left position | Device | colonoscopy will be performed in 3 different locations. Left position, the patient will be in the left-side position during the entire colonoscopy |
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| Measure | Description | Time Frame |
|---|---|---|
| Time to reach cecum | Cecum intubation time is the insertion time taken from first visualization of rectal mucosa to cecum | 2 hour |
| Measure | Description | Time Frame |
|---|---|---|
| patient's comfort assessment: Visual Analog Score | patients' discomfort will be assessed by a 10-cm visual analog scale, in which a score of 0 denoted no pain and a score of 10 denoted unbearable pain | 3 hour |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| BETÜL TOPAL, 1 | Contact | +905446555091 | betultopal90@hotmail.com | |
| TARIK AKAR, 2 | Contact | +905054192900 | drtarikakar@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| TARIK AKAR, MD | BULENT ECEVIT UNIVERSITY FACULTY OF MEDICINE , GASTROENTEROLOGY | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Betul Topal | Recruiting | Zonguldak | Kozlu Bulent Ecevit University Faculty of Medicine | 67600 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D003109 | Colonic Diseases, Functional |
| ID | Term |
|---|---|
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D003113 | Colonoscopy |
| ID | Term |
|---|---|
| D016099 | Endoscopy, Gastrointestinal |
| D016145 | Endoscopy, Digestive System |
| D003938 | Diagnostic Techniques, Digestive System |
| D019937 | Diagnostic Techniques and Procedures |
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this study includes 3 different groups. left, left supine,dynamıc
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| left supine position | Device | Colonoscopy in the Left supine position |
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| dynamic position | Device | Colonoscopy in the Dynamic position |
|
| D003933 | Diagnosis |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |