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Colonoscopy is an exam which can be responsible for pain and discomfort for the patient.
Therefore colonoscopy is performed most of the time under general anaesthesia. Moreover, drug-induced sedation comes with adverse effects especially among fragile patients.
Besides, monitoring patients during and after sedation is both logistically demanding and costly.
Virtual reality offers immersive and three dimensional experiences that distract the attention and might improve patients comfort.
The aim of the study is to investigate the use of virtual reality during colonoscopy versus general anaesthesia.
The study is based on a home made questionnaires completed by the operator and the patient before and after the colonoscopy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual reality colonoscopy | using virtual reality with glasses and sound no anaesthesia |
| |
| General anaesthesia colonoscopy | gold standard |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| colonoscopy | Procedure | Colonoscopy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Complete colonoscopy defined by caecum intubation (binary criterion : yes or no) | found of the report | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Pain evaluated by Numeric Rating Scale during the procedure (0 no pain and 10 highest imaginable pain) | asked on the questionnaire | baseline |
| Anxiety evaluated by the validated score State Trait Anxiety Inventory ranging from 20 (absence of anxiety) to 80 (highest anxiety) |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patient needed planned colonoscopy and able to fill in questionnaires in French
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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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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asked on the questionnaire |
| baseline |
| Comfort evaluated by Gloucester Comfort Scale between 1 comfortable and 5 severe discomfort | asked on the questionnaire | baseline |
| Satisfaction evaluated on scale of willingness to return (0 no willing at all to 10 definitively willing) | asked on the questionnaire | baseline |
| Polyp removal (binary criterion : yes or no) | found on the report | baseline |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D003933 | Diagnosis |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |