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
About this trial
This is an interventional screening trial for Bowel Preparation Scale
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
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
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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