Transparent hood attached to the colonoscope: does it really work for all types of colonoscopes?

Sugiyama, Takashi; Katsuura, Yosuke; Teramoto, Osamu; Kaiho, M.; Takano, Shigetsugu; Yoshidome, Hiroyuki; Miyazaki, Masaru

doi:10.1007/s00464-008-9790-6

Cited by 32 publications

(15 citation statements)

References 18 publications

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“…This finding is in accordance with the literature 5 24 25. However, after 2 weeks, no significant differences in the perceived burden of the procedure were reported.…”

Section: Discussionsupporting

confidence: 93%

Adenoma detection with cap-assisted colonoscopy versus regular colonoscopy: a randomised controlled trial

Wijkerslooth

Stoop

Bossuyt

et al. 2011

Gut

101

100

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“…This finding is in accordance with the literature 5 24 25. However, after 2 weeks, no significant differences in the perceived burden of the procedure were reported.…”

Section: Discussionsupporting

confidence: 93%

Adenoma detection with cap-assisted colonoscopy versus regular colonoscopy: a randomised controlled trial

Wijkerslooth

Stoop

Bossuyt

et al. 2011

Gut

101

100

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“…The transparent cap attached to the tip of the colonoscope has been reported to shorten the cecal intubation time and increase the polyp detection rate, particularly by inexperienced endoscopists, but only limited data are available to confirm these benefits [2, 3]. Our study confirmed shorter cecal intubation times for both experienced and trainee endoscopists.…”

Section: Discussionsupporting

confidence: 79%

Benefit of “transparent soft-short-hood on the scope” for colonoscopy among experienced gastroenterologists and gastroenterologist trainee: a randomized, controlled trial

et al. 2011

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BackgroundThe attachment of a transparent hood to the colonoscope tip has been reported to offer some benefits, such as enabling the endoscopist to perform the colonoscopy more easily and to save time. However, there have been no randomized, controlled trials concerning these benefits, nor have any reports been published regarding the use of hoods for the purpose of training colonoscopists. Therefore, we conducted this study to evaluate the possible benefits of the transparent soft short hood when used by both experienced and trainee endoscopist groups.MethodsThis randomized, controlled trial to assess the results of using a transparent soft short hood attached to the tip of the colonoscope was undertaken by two groups of investigators: experienced endoscopists and gastroenterologist trainees. The cecal and ileal intubation times, as well as the doses of sedative medication required, were analyzed.ResultsA total of 112 patients, 65 of whom were female, underwent colonoscopy by 2 endoscopists and 5 gastroenterologist trainees. Colonoscopy was complete in 100% of the patients. The study showed significant shortening of the cecal intubation time when using the soft short hood, in both the endoscopist and gastroenterologist trainee groups (6.8/4.61 min, P = 0.006; and 9.36/7.36 min, P = 0.03). The ileal intubation time had a trend to be significantly less when using the transparent hood in the trainee group (126.4/52.9 s), although this was not statistically significant (P = 0.08). The average dose of propofol, when using the transparent hood, was significantly lower in the endoscopist group (180/120 mg, P = 0.001). No significant complications occurred in the hood or non-hood groups.ConclusionsThe transparent soft short hood shortened the cecal intubation time in both the experienced endoscopist and gastroenterologist trainee groups, as well as reducing the dose of sedative medication required in the experienced endoscopist group. Interestingly, it also reduced the trainee ileal intubation time. The attachment of this type of hood enabled both the experienced endoscopists and gastroenterological trainees to perform colonoscopy more quickly and easily, without any complications.

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“…According to several reports, water immersion prolongs cecal intubation time compared to air insufflation colonoscopy . On the contrary, no study reported a longer intubation time while using the attached cap for air insufflation colonoscopy . In our trial, the cap‐assisted technique was not able to shorten the insertion phase of water immersion colonoscopy significantly ( P = 0.73).…”

Section: Discussioncontrasting

confidence: 70%

Cap‐assisted water immersion for minimal sedation colonoscopy: Prospective, randomized, single‐center trial

Falt¹,

Smajstrla²,

Fojtík³

et al. 2012

Digestive Endoscopy

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Transparent hood attached to the colonoscope: does it really work for all types of colonoscopes?

Abstract: Transparent hood may be a handy and a cost-effective device for reducing pain and simplifying cecal intubation, especially when using a standard adult colonoscope in routine colonoscopy.

Cited by 32 publications

References 18 publications

Adenoma detection with cap-assisted colonoscopy versus regular colonoscopy: a randomised controlled trial

Adenoma detection with cap-assisted colonoscopy versus regular colonoscopy: a randomised controlled trial

Benefit of “transparent soft-short-hood on the scope” for colonoscopy among experienced gastroenterologists and gastroenterologist trainee: a randomized, controlled trial

Cap‐assisted water immersion for minimal sedation colonoscopy: Prospective, randomized, single‐center trial

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