Effect of Water Exchange Plus Acetic Acid Staining on the Detection of Flat Polyps During Colonoscopy

  • STATUS
    Recruiting
  • participants needed
    300
  • sponsor
    Fourth Military Medical University
Updated on 19 February 2024
adenoma
bowel preparation

Summary

Our previous study (Am. J. Gastroenterol. 2017 04;112(4)) showed that water exchange (WE) colonoscopy was able to increase the detection of flat adenomas as well as overall ADR. We hypothesized that WE based whole-colon acetic acidAA staining might be useful to improve the detection of flat lesions compared with WE alone.

Description

Water exchange colonoscopy was performed as described previously (Am. J. Gastroenterol. 2017 04;112(4)). Patients were randomly allocated to WE group or WE+AA group. In WE+AA group, water containing 1% of AA was used during insertion of colonoscopy instead of water alone. A bottle of 20ml pure AA was placed abutting the water pump, which make it possible to keep patients blinded to group allocation. Endoscopist using a high-definition wide-angle Olympus or Fujinum colonoscope performed all of the colonoscopies, with a withdrawal time of at least 6 min. The observation was initially performed without the assistance of cap or the use of magnification or electronic staining (NBI, BLI, LCI or AFI et al.). Scopolamine butylbromide or glucogon was not routinely administrated.

Details
Condition Adenoma Colon
Age 40-70 years
Treatment acetic acid staining, Water exchange colonoscopy
Clinical Study IdentifierNCT04464135
SponsorFourth Military Medical University
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Aged 40-70
Undergoing colonoscopy after standard bowel preparation

Exclusion Criteria

Known familial polyposis
Small amount of feces or semi-solid stool in last rectal effluent
Inflammatory Bowel Disease
Lactated or pregnant women
Unable to provide informed content
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