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N/A N=211 Randomized Double-blind Prevention

Abdominal Binder in Colonoscopies Performed by Trainees

Performance of Colonoscopy · Tolerance of Colonoscopy

Enrolled (actual)
211
Serious AEs
0.0%
Results posted
May 2024
Primary outcome: Primary: Mean Cecal Intubation Time — 728; 774 second — p=0.008

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Abdominal binder (Revive 3-in-1 Postpartum Recovery Support Belt) (Device); Loose abdominal binder (Revive 3-in-1 Postpartum Recovery Support Belt) (Device)
Age
Adult, Older Adult · 20+ yrs
Sex
All
Sponsor
Hospital Central Norte PEMEX
Primary completion
Jan 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Cecal Intubation Time
728; 774 0.008 sig
SECONDARY
Frequency of Use of Abdominal Pressure
15; 58 <0.001 sig
SECONDARY
Length of Cecal Intubation
95; 100 <0.001 sig
SECONDARY
Frequency of Intervention by the Attending Endoscopist
6; 11 0.321
SECONDARY
Colonoscopy Completion Rate
100; 102 0.75
SECONDARY
Number of Participants With Mild, Moderate, and Severe Procedural Difficulty as Assessed by Trainees
61; 64; 38; 23; 6; 19 0.005 sig
SECONDARY
Number of Participants According to Colonoscopy Findings
36; 30; 42; 44; 0; 1 0.8
SECONDARY
Operator Perception of Patient Discomfort
SECONDARY
Additional Analgesic Drug Required to Complete Procedure
0; 4 0.12
SECONDARY
Patient Pain at Discharge
2.22; 3.58 <0.001 sig
SECONDARY
Patient Satisfaction at Discharge
3.65; 3.05 <0.001 sig
SECONDARY
Frequency of Use of Position Change
2; 12 0.01 sig
SECONDARY
Additional Anesthetic Drug Required to Complete Procedure
0; 0 1

Summary

This randomized trial will be conducted to evaluate the effectiveness and safety of an abdominal binder use during colonoscopy performed by gastrointestinal endoscopy fellow trainees. The investigators hypothesized that the abdominal binder use would facilitate and increase the effectiveness of the colonoscopy for inexperienced operators.

Eligibility Criteria

Inclusion Criteria

  • Male and female adults between the ages of 20-80
  • Participants with ASA I-III (American Society of Anesthesiologists Class)
  • Undergoing a colonoscopy at any of the study locations for:

I. CRC screening (first colonoscopy or 10 years follow up of negative exam). II. Surveillance (prior colonoscopy with polyps). III. Diagnostic colonoscopy performed to evaluate symptoms such as abdominal pain or rectal bleeding.

  • Participants must have completed the full prescribed colonoscopy purgative preparation prior to their procedure and describe adequate cleansing.

Exclusion Criteria

  • Inability to provide informed consent.
  • Patients with known or suspected pregnancy.
  • Patients undergoing multiple procedures (e.g., upper and lower endoscopy).
  • Previous colon resection surgery.
  • History of problems with sedation or anesthesia.
  • Patients with known or suspected diagnosis of inflammatory bowel disease (ulcerative colitis or Crohn's disease).
  • Patients with a history of colorectal cancer or other intra-abdominal malignancy.
  • Patients with open or recent wounds or skin rash on the anterior abdominal wall.
  • History of cirrhosis or ascites.
  • Patients who are medically unstable (American Society of Anesthesiology Class IV or above).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05617521). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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