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Effect of Gum Chewing on Bowel Cleansing Before Colonoscopy

Primary Purpose

Bowel Preparation Scale, Adenoma Detection Rate

Status
Completed
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
gum+PEG
polyethylene glycol
Sponsored by
Changhai Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional screening trial for Bowel Preparation Scale

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • All adults (18-65) who were referred for outpatient colonoscopy.

Exclusion Criteria:

  • under 18 years or More than 65 years
  • previous abdominal surgery
  • major psychiatric disorders
  • pregnancy
  • presence of any contraindications for colonoscopy(eg, severe heart failure)
  • recent inadequate colonoscopy history

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    gum+PEG

    PEG

    Arm Description

    used 2L PEG+sugarless gum

    only used 2L PEG

    Outcomes

    Primary Outcome Measures

    Boston Bowel Preparation Scale

    Secondary Outcome Measures

    number of patient tolerability
    number of patient willingness to repeat preparation
    Adenoma Detection Rate

    Full Information

    First Posted
    July 19, 2015
    Last Updated
    March 17, 2016
    Sponsor
    Changhai Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02507037
    Brief Title
    Effect of Gum Chewing on Bowel Cleansing Before Colonoscopy
    Official Title
    Effect of Gum Chewing on Bowel Cleansing Before Colonoscopy: A Prospective Randomized Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    July 2014 (undefined)
    Primary Completion Date
    August 2015 (Actual)
    Study Completion Date
    October 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Changhai Hospital

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    In this randomized controlled study, consecutive outpatients scheduled for elective colonoscopy were randomized into two groups. Group A patients (n = 150) used 2 L PEG before colonoscopy. Patients in group B (n = 150) were additionally advised to chew sugarless gum plus 2 L PEG, The overall quality of colonoscopy cleaning was evaluated using the Boston Bowel Preparation Scale by endoscopists who was blinded to the intervention. Difficulty of procedure, patients' tolerance, and adverse events were also evaluated.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Bowel Preparation Scale, Adenoma Detection Rate

    7. Study Design

    Primary Purpose
    Screening
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    Investigator
    Allocation
    Randomized
    Enrollment
    300 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    gum+PEG
    Arm Type
    Experimental
    Arm Description
    used 2L PEG+sugarless gum
    Arm Title
    PEG
    Arm Type
    Placebo Comparator
    Arm Description
    only used 2L PEG
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    gum+PEG
    Intervention Description
    chew sugarless gum
    Intervention Type
    Drug
    Intervention Name(s)
    polyethylene glycol
    Intervention Description
    2L PEG
    Primary Outcome Measure Information:
    Title
    Boston Bowel Preparation Scale
    Time Frame
    2 days
    Secondary Outcome Measure Information:
    Title
    number of patient tolerability
    Time Frame
    2 days
    Title
    number of patient willingness to repeat preparation
    Time Frame
    2 days
    Title
    Adenoma Detection Rate
    Time Frame
    2 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: All adults (18-65) who were referred for outpatient colonoscopy. Exclusion Criteria: under 18 years or More than 65 years previous abdominal surgery major psychiatric disorders pregnancy presence of any contraindications for colonoscopy(eg, severe heart failure) recent inadequate colonoscopy history

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    25672242
    Citation
    Sakin YS, Uygun A, Bagci S. Comment on: Efficacy and safety of gum chewing in adjunct to high-dose senna for bowel cleansing before colonoscopy: a single-blind randomized controlled trial. Saudi J Gastroenterol. 2015 Jan-Feb;21(1):56. doi: 10.4103/1319-3767.151233. No abstract available.
    Results Reference
    result
    PubMed Identifier
    25434316
    Citation
    Ergul B, Filik L, Kocak E, Dogan Z, Sarikaya M. Efficacy and safety of gum chewing in adjunct to high-dose senna for bowel cleansing before colonoscopy: a single-blind randomized controlled trial. Saudi J Gastroenterol. 2014 Nov-Dec;20(6):356-9. doi: 10.4103/1319-3767.145325.
    Results Reference
    result
    PubMed Identifier
    24112594
    Citation
    Ou G, Svarta S, Chan C, Galorport C, Qian H, Enns R. The effect of chewing gum on small-bowel transit time in capsule endoscopy: a prospective, randomized trial. Gastrointest Endosc. 2014 Apr;79(4):630-6. doi: 10.1016/j.gie.2013.08.038. Epub 2013 Oct 7.
    Results Reference
    result
    PubMed Identifier
    27327849
    Citation
    Fang J, Wang SL, Fu HY, Li ZS, Bai Y. Impact of gum chewing on the quality of bowel preparation for colonoscopy: an endoscopist-blinded, randomized controlled trial. Gastrointest Endosc. 2017 Jul;86(1):187-191. doi: 10.1016/j.gie.2016.05.051. Epub 2016 Jun 17.
    Results Reference
    derived

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    Effect of Gum Chewing on Bowel Cleansing Before Colonoscopy

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