Tu1465 Endocuff Assisted Colonoscopy Increases Adenoma Detection Rates: a Multi-Center Study

Marsano, Joseph; Tzimas, Demetrios; McKinley, Matthew; Robbins, David H.; Mammen, Anish; Sun, Edward; Chugh, Priyanka; Razavi, Farid; Hasan, Nazia; Buscaglia, Jonathan M.; Bucobo, Juan Carlos; Nagula, Satish; Goodman, Adam; Pochapin, Mark; Gross, Seth A.

doi:10.1016/j.gie.2014.02.911

Cited by 11 publications

(12 citation statements)

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“…Of the nine included comparative studies[13-21], summarized in Table 1, four were retrospective cohort studies, four were prospective randomized controlled trials, and one was a prospective observational study. Indications for colonoscopy varied across the index study including average risk screening, high risk screening due to family history, surveillance due to history of previous polyps, follow up for positive stool testing (FOBT or FIT), and diagnostic procedures for concerning symptoms including pain, changes in quality of stools, anemia, or hematochezia.…”

Section: Resultsmentioning

confidence: 99%

“…Of the nine studies included in the analysis, eight ( n = 4387) reported ADR as an outcome (Figure 3)[13-19,21]. Overall, there was a higher ADR in the EC group of 50.4% compared to the standard colonoscopy group of 43.3% (OR = 1.49 95%CI: 1.23-1.80, I 2 = 55%; P = 0.03).…”

Section: Resultsmentioning

confidence: 99%

“…A total of three studies[13,14,20] ( n = 1326) evaluated the right-sided polyp detection rate using the EC compared to the standard colonoscopy. Overall, there was an enhanced rate of detection of right-sided colonic polyps in the EC group of 33.4% compared to 24.0% (OR = 1.63, 95%CI: 1.28-2.08, I 2 = 0%; P < 0.001) (Figure 4).…”

Section: Resultsmentioning

confidence: 99%

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Use of the Endocuff during routine colonoscopy examination improves adenoma detection: A meta-analysis

Chin¹,

Karnes²,

Jamal³

et al. 2016

WJG

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AIMTo perform meta-analysis of the use of Endocuff during average risk screening colonoscopy.METHODSScopus, Cochrane databases, MEDLINE/PubMed, and CINAHL were searched in April 2016. Abstracts from Digestive Disease Week, United European Gastroenterology, and the American College of Gastroenterology meeting were also searched from 2004-2015. Studies comparing EC-assisted colonoscopy (EAC) to standard colonoscopy, for any indication, were included in the analysis. The analysis was conducted by using the Mantel-Haenszel or DerSimonian and Laird models with the odds ratio (OR) to assess adenoma detection, cecal intubation rate, and complications performed.RESULTSNine studies (n = 5624 patients) were included in the analysis. Compared to standard colonoscopy, procedures performed with EC had higher frequencies for adenoma (OR = 1.49, 95%CI: 1.23-1.80; P = 0.03), and sessile serrated adenomas detection (OR = 2.34 95%CI: 1.63-3.36; P < 0.001). There was no significant difference in cecal intubation rates between the EAC group and standard colonoscopy (OR = 1.26, 95%CI: 0.70-2.27, I2 = 0%; P = 0.44). EAC was associated with a higher risk of complications, most commonly being superficial mucosal injury without higher frequency for perforation.CONCLUSIONThe use of an EC on colonoscopy appears to improve pre-cancerous polyp detection without any difference in cecal intubation rates compared to standard colonoscopy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Use of the Endocuff during routine colonoscopy examination improves adenoma detection: A meta-analysis

Chin¹,

Karnes²,

Jamal³

et al. 2016

WJG

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“…Additionally, EC does not impair the direct wide-angle view of the colonoscope. Finally, in the studies included in our review, no major complications were reported for EC and its use in screening colonoscopy[5-7,8]. …”

Section: Discussionmentioning

confidence: 99%

“…The device has eight flexible branches arranged in two rows. These branches are used to flatten the folds of the colon while withdrawing the colonoscope, allowing for improved visibility behind the folds[7]. …”

Section: Introductionmentioning

confidence: 99%

Endocuff-Assisted Colonoscopy—A Novel Accessory in Improving Adenoma Detection Rate: A Review of the Literature

Patil¹,

Ona

Ofori

et al. 2016

Clin Endosc

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Endocuff (Arc Medical Design) is a U.S. Food and Drug Administration-approved device that is attached like a cap to the distal tip of the colonoscope; it is used to improve adenoma detection rates during colonoscopy. The aim of this review was to summarize and evaluate the clinical and technical efficacy of Endocuff in improving adenoma detection rate. A comprehensive literature review was performed to identify studies describing this technique. In this review article, we have summarized case series and reports describing Endocuff use and results. The reported indications, results, limitations, and complications are discussed.

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Technological advances for improving adenoma detection rates: The changing face of colonoscopy

Ishaq

Siau

Harrison

et al. 2017

Digestive and Liver Disease

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Tu1465 Endocuff Assisted Colonoscopy Increases Adenoma Detection Rates: a Multi-Center Study

Cited by 11 publications

References 0 publications

Use of the Endocuff during routine colonoscopy examination improves adenoma detection: A meta-analysis

Use of the Endocuff during routine colonoscopy examination improves adenoma detection: A meta-analysis

Endocuff-Assisted Colonoscopy—A Novel Accessory in Improving Adenoma Detection Rate: A Review of the Literature

Technological advances for improving adenoma detection rates: The changing face of colonoscopy

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