Prospective randomized controlled trial evaluating cap-assisted colonoscopy vs standard colonoscopy

Abstract

CAC did not significantly different from SC in term of cecal intubation time and polyp detection rate.

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. One multicenter (Netherlands, Israel and US) RCT describing ERC was also included [17] .…”

“…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.…”

“…241 not affected by the cap used, which were 5-10 mm in length. Olympus series of endoscopes and mucosectomy caps were used in the remaining studies [11][12][13][14][15] . There was no reported limitation in the field of view for the endoscopist upon addition of the transparent cap to the colonoscope.…”

Comparison of precancerous lesions detection between standard colonoscopy and novel balloon colonoscopy

“…al. 10 in 400 subjects, reported that there was no significant polyp detection rate difference detection standard colonoscopy and cap-assisted colonoscopy (31.3% vs. 32.8%, respectively). Recently, a rearward viewing device was introduced for use during colonoscopy with standard endoscopes.…”

If You Have a Low Adenoma Detection Rate, Don’t Blame Your Fellows

“…Most of the studies did not report the level of training of the fellow, which has been shown in some studies, but not others, to correlate with higher ADR [6][7][8]. Finally, three studies reported PDR but not ADR, which limits the conclusions one can draw from these studies [9][10][11].…”