Recent literature has studied the effect of position changes in colonoscopy. A multitude of studies have been done to determine the best way to achieve luminal distention that provides the best visualization to detect and remove adenomas. Colonoscopy is, ultimately, operator dependent and relies on adequate visualization of these lesions. Condition or diseaseĬolonoscopy is considered the gold standard for detecting precancerous lesions in the bowel - providing both diagnostic and therapeutic value. In particular, cecal intubation rates and adenoma detection rates. The investigators would like to compare both positions to determine if it affects outcomes in colonoscopy. In the left lateral decubitus position, the bowel collapses, creating an often difficult area to maneuver and visualize. In the Right Lateral Decubitus position, the sigmoid colon and cecum - both parts of the bowel that are not fixed - air used during colonoscopy will rise in a dependent fashion, increasing luminal distention.
#LATERAL POSITION FREE#
The investigators theorize that positioning in the Right Lateral Decubitus rather than the Left Lateral Decubitus may be a cost free method to increase luminal distention and, hence, improve visualization in colonoscopy. Visualization is improved with luminal distention, and a multitude of studies have been done to determine ways to increase this luminal distention. It relies on adequate visualization of the bowel wall to see and remove such lesions. Why Should I Register and Submit Results?Ĭolonoscopy continues to be the gold standard in detecting precancerous lesions in the colon.
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