Endocuff-assisted versus standard colonoscopy for improving adenoma detection rate: meta-analysis of randomized controlled trials

What are the priority quality indicators for colonoscopy in real‐world clinical practice?

“…water-assisted colonoscopy, right-sided retroflection, double right-side examination, and patient position change during scope withdrawal) have improved ADR. [70][71][72] Additionally, advanced technology aimed at improving ADR can be divided into: (i) mucosal exposure devices such as the Endorings, Endocap, Endocuff, and G-EYE systems; [73][74][75][76] (ii) image enhancement techniques such as dye chromoendoscopy and virtual chromoendoscopy; [77][78][79][80][81] and (iii) computer-aided polyp detection system (CADe), which is the most promising tool. [82][83][84] By a recent meta-analysis, CADe had the most significant improvement in ADR of ~10% in both low and high ADR detectors and 50% reductions in the missing rate in tandem studies compared to mucosal exposure devices and image enhancement techniques.…”

Next generation of virtual chromoendoscopy improves adenoma detection during colonoscopy

“…Endocuff (Arc Medical Design, Leeds, UK) can be used to flatten the colonic folds during withdrawal. There is a significant effect, resulting in higher ADRs [7]. However, Endocuff has to be mounted onto the distal end of the endoscope and can only be removed when the endoscope is outside the patient.…”