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Completed

NCT Number: NCT06117553

Thorough Flushing Strategy During Colonoscopy Examination

The investigators plan to adopt a thorough flushing strategy when withdrawing the endoscope, and have zero tolerance for the liquid and foam in the intestinal lumen. Observe and compare the impact of this strategy with traditional limited degree suction methods on the results of colonoscopy. The research group and the control group respectively adopted a thorough flushing strategy and a limited flushing strategy, and compared the total time of colonoscopy examination, the time of withdrawal, the detection rate of polyps, the detection rate of small polyps, and the amount of flushing fluid between the two groups. Analyze the value of thorough flushing strategy for the efficiency and quality of colonoscopy examination.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine

Shanghai, China

About this study

Most physicians do not adopt a strategy of complete suction of fluid from the intestinal lumen during colonoscopy. There are both concerns about the time required for colonoscopy and the possibility of inability to thorough cleannig up. Some endoscopists believe that the visual field for partial cleaning of fecal water is acceptable and does not affect observation. This study aims to make an observation and comparison based on the existing problems mentioned above. With the help of direct water injection system, the investigators plan to adopt a thorough flushing strategy when withdrawing the endoscope, and have zero tolerance for the liquid and foam in the intestinal lumen. Observe and compare the impact of this strategy with traditional limited degree suction methods on the results of colonoscopy. The research group and the control group respectively adopted a thorough flushing strategy and a limited flushing strategy, and compared the total time of colonoscopy examination, the time of withdrawal, the detection rate of polyps, the detection rate of small polyps, and the amount of flushing fluid between the two groups. Analyze the value of thorough flushing strategy for the efficiency and quality of colonoscopy examination.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • People without contraindications for colonoscopy

Exclusion criteria

  • Patients diagnosed with colon polyps

Treatment and study plan

thorough flushing

Procedure

The thorough flushing strategy refers to the thorough flushing of all liquid and foam accumulation areas during the inspection. Make all liquid accumulation parts in the intestinal cavity free of aspiratable liquid retention

Primary outcomes

  1. time of examination

    Time frame: 1week

    the time from insertion to exit the anus

  2. time of insertion

    Time frame: 1week

    the time from insertion to arriving at cecum

  3. time of withdrawl

    Time frame: 1week

    the time from cecum to anus

  4. number of polyps

    Time frame: 1week

    the number of polyps found

  5. location of polyps

    Time frame: 1week

    the location of polyps found

  6. shape of polyps

    Time frame: 1week

    the shape of polyps found, classified into lateral, senssile and pediculated three types

Secondary outcomes

  1. Boston score

    Time frame: 1week

    the Boston score of bowel preparation (from 0-9)

  2. volume of water

    Time frame: 1week

    volume of water used for flushing

Sponsors and collaborators

Lead sponsor

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Other

Collaborators

  • Shanghai University of Traditional Chinese Medicine

Registry information

Official study title

Clinical Study on the Application of Thorough Flushing Strategy During Colonoscopy Examination

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
Nov 7, 2023
Registry last updated
Feb 13, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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