Transparent Cap-Assisted Colonoscopy Versus Standard Adult Colonoscopy

Westwood, David A.; Alexakis, N.; Connor, Saxon

doi:10.1097/dcr.0b013e31823461ef

Cited by 76 publications

(62 citation statements)

References 36 publications

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“…Despite this evidence, studies of cap-assisted colonoscopy still report conflicting clinical results. The use of caps is associated with a statistically significant reduction in time to caecal intubation, but not a better caecal intubation or polyp detection rate, as confirmed in other two meta-analyses [2,3]. Moreover, the average reduction in time to caecal intubation of only 48 s shown in the present meta-analysis does not make it possible to put more patients on the endoscopy list.…”

supporting

confidence: 52%

Invited comment on Morgan et al.: Transparent cap colonoscopy versus standard colonoscopy: a systematic review and meta-analysis

Trecca¹

2013

Tech Coloproctol

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supporting

confidence: 52%

Invited comment on Morgan et al.: Transparent cap colonoscopy versus standard colonoscopy: a systematic review and meta-analysis

Trecca¹

2013

Tech Coloproctol

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“…We assume that the HD+i-SCAN colonoscope will not help to inspect the blind mucosa and therefore will not have any impact on the detection of missed lesions on the reverse side of the mucosal folds. Other recently developed ancillary techniques that may assist in detecting hidden lesions in the blind mucosal surface, such as cap-assisted, Endocuff, EndoRing, and balloon colonoscopies, work on the principle of flattening the haustral folds during withdrawal and, therefore, expanding the surface area of the colonic mucosa being visualized; the Third Eye Retroscope retrograde-viewing auxiliary device, or wider angle colonoscopes can be useful adjuncts (32)(33)(34)(35)(36). In conclusion, our study found that the use of a HD+i-SCAN colonoscope yielded an increase in flat ADR compared to a SRWL colonoscope in average-risk CRC screening colonoscopies.…”

Section: Discussionmentioning

confidence: 99%

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

A¹,

Saperas²

2016

Rev Esp Enferm Dig

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Background and aim:The usefulness of high definition colonoscopy plus i-scan (HD+i-SCAN) for average-risk colorectal cancer screening has not been fully assessed. The detection rate of adenomas and other measurements such as the number of adenomas per colonoscopy and the flat adenoma detection rate have been recognized as markers of colonoscopy quality. The aim of the present study was to compare the diagnostic performance of an HD+i-SCAN with that of standard resolution white-light colonoscope.Methods: This is a retrospective analysis of a prospectively collected screening colonoscopy database. A comparative analysis of the diagnostic yield of an HD+i-SCAN or standard resolution colonoscopy for average-risk colorectal screening was conducted.Results: During the period of study, 155/163 (95.1%) patients met the inclusion criteria. The mean age was 56.9 years. Sixty of 155 (39%) colonoscopies were performed using a HD+i-SCAN. Adenoma-detection-rates during the withdrawal of the standard resolution versus HD+i-SCAN colonoscopies were 29.5% and 30% (p = n.s.). Adenoma/colonoscopy values for standard resolution versus HD+i-SCAN colonoscopies were 0.46 (SD = 0.9) and 0.72 (SD = 1.3) (p = n.s.). A greater number of flat adenomas were detected in the HD+i-SCAN group (6/60 vs. 2/95) (p < .05). Likewise, serrated adenomas/polyps per colonoscopy were also higher in the HD+i-SCAN group.Conclusions: A HD+i-SCAN colonoscopy increases the flat adenoma detection rate and serrated adenomas/polyps per colonoscopy compared to a standard colonoscopy in averagerisk screening population. HD+i-SCAN is a simple, available procedure that can be helpful, even for experienced providers. The performance of HD+i-SCAN and substantial prevalence of flat lesions in our average-risk screening cohort support its usefulness in improving the efficacy of screening colonoscopies.

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“…al. 9 reported a miss-rate of 12.2% in the cap-assisted colonoscopy group vs. 28.6% miss rate in the standard colonoscopy group, implying a positive effect of cap employment on polyp detection rate. In contrast, another study performed by Tee et.…”

Section: Introductionmentioning

confidence: 99%

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

Kießlich¹,

Yoselzon²

2015

http://isrctn.com/

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Transparent Cap-Assisted Colonoscopy Versus Standard Adult Colonoscopy

Abstract: Cap-assisted colonoscopy is associated with improved detection of colorectal neoplasia and higher cecal intubation rates than standard adult colonoscopy.

Cited by 76 publications

References 36 publications

Invited comment on Morgan et al.: Transparent cap colonoscopy versus standard colonoscopy: a systematic review and meta-analysis

Invited comment on Morgan et al.: Transparent cap colonoscopy versus standard colonoscopy: a systematic review and meta-analysis

Enhanced flat adenoma detection rate with high definition colonoscopy plus i-scan for average-risk colorectal cancer screening

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

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