Endocuff-assisted colonoscopy: a new accessory to improve adenoma detection rate? Technical aspects and first clinical experiences

Abstract

Endocuff-assisted colonoscopy showed good procedural success rates in terms of cecal intubation rate and time, and a promising adenoma detection rate. Endocuff seems to improve endoscope tip control, especially during polypectomy. Endocuff may be a useful device for colorectal adenoma screening, and should be investigated in larger trials.

Endoscopic Improvement of the Adenoma Detection Rate during Colonoscopy - Where Do We Stand in 2015?

“…Meanwhile, this device is approved by the US-American and European authorities for broad colonoscopic use. The first larger case series was published in 2014 by Lenze et al [75] showing promising results for adenoma detection and no major side effects. In a recently published Swiss feasibility study with analysis of 104 EC-assisted colonoscopies, a good ADR of 47% was measured [76].…”

New Developments in Mechanical Enhancement of Colonoscopy: Cuffs, Caps and Rings

“…Three studies including 2 prospective RCTs [7,8] and 1 retrospective study [9] , all from Germany describing the EC were included for the review. Six prospective RCTs, 1 each from Germany [10] , Hong Kong [11] , Netherlands [12] , US [13] , South Korea [14] , Australia [15] and 1 retrospective study from Hong Kong [16] describing the CAC were included for the review.…”

“…They included patients undergoing screening, surveillance and diagnostic colonoscopies [7][8][9][10][11][12][13][14][15][16][17] . Diagnostic colonoscopies included, but were not limited to symptoms of abdominal pain and evaluation of anemia [7][8][9] . Regular colonoscopies with technical difficulty in polyp resection [14] or failure of cecum intubation [16] were also included.…”

“…In the prospective studies, the study subjects were grouped into 2 arms based on the type of intervention: EC [7][8][9] or CAC [10][11][12][13][14][15] or ERC [17] versus standard colonoscopy (SC), regular colonoscopy (RC) or conventional colonoscopy (CC). The retrospective studies looked into the EC [9] and CAC [16] performed.…”

“…The retrospective studies looked into the EC [9] and CAC [16] performed. All technical details of the colonoscopy have been detailed in online supplementary table 1 (for all online suppl.…”