Left Lateral Position Versus Supine Position in Colonoscopy

Launched by HOSPITAL CIVIL DE GUADALAJARA · Oct 28, 2024

Keywords

ClinConnect Summary

This clinical trial is studying two different positions—lying on your side (left lateral position) versus lying on your back (supine position)—during a colonoscopy, which is a procedure used to check for signs of colorectal cancer. The goal is to find out which position allows the procedure to be done more quickly and safely, with fewer complications, while still meeting all quality standards. This is important because optimizing colonoscopy can lead to better patient experiences and outcomes.

To participate in this trial, you need to be between 18 and 79 years old and have been referred for a colonoscopy. Both men and women are welcome to join, as long as you agree to the procedure and sign a consent form. If you have certain health conditions or are pregnant, you may not be eligible. If you choose to participate, you can expect a standard colonoscopy experience, but with the added focus on how your position might affect the procedure. Importantly, there are no extra costs for you if you take part in this study, and the risks involved are minimal, similar to those associated with the colonoscopy itself.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients with indication for colonoscopy in our coloproctology service
• • Both women and men
• • Patients within an age range of 18-79 years
• • Patients who agree having a colonoscopy and who sign the informed consent to participate in the protocol
• Exclusion Criteria:
• • Patients under 18 or over 80 years old
• • All patients that won´t like to participate in the protocol or won´t sign the informed consent
• • Pregnant women
• • Patients with a medical record of colonic resection, ostomy status, severe cardiopulmonary and renal diseases, major psychiatric disorders, therapeutic colonoscopy or any contraindications for colonoscopy
• • Non compliance with the colonic preparation regimen
• • Active bleeding during the procedure
• • Patients with a known diagnosis of colorectal cancer
• • Patients with class III obesity
• Elimination criteria:
• • Boston score \<6 for colonic preparation
• • Patients with a colonic lesion that makes it difficult to pass the colonoscope
• • Patients with insufficient sedation that requires the procedure to stop temporarily
• • Bowel perforation during colonoscopy
• • Inability to reach the cecum despite loop reduction maneuvers
• • Indication to suspend the study given by the anesthesiologist