Endocuff-assisted colonoscopy: a new accessory to improve adenoma detection rate? Technical aspects and first clinical experiences.

Abstract:

BACKGROUND AND STUDY AIMS:The Endocuff is a new colonoscopy accessory that has been designed to improve both the adenoma detection rate and endoscope tip control. PATIENTS AND METHODS:A total of 50 Endocuff-assisted colonoscopies were analyzed retrospectively with regard to safety, procedural success, and complications. RESULTS:The cecal intubation rate was 98 %, and the mean intubation time was 6.0 minutes (95 % confidence interval 5.3 - 6.6 minutes). The ileal intubation rate was 76 %. In 30 % of patients, the Endocuff caused small, superficial, "scratch-like" mucosal lesions. In all other patients, no Endocuff-associated complications were observed. A total of 36 adenomas were detected in 50 patients. The adenoma detection rate was 34 %. CONCLUSIONS:Endocuff-assisted colonoscopy showed good procedural success rates in terms of cecal intubation rate and time, and a promising adenoma detection rate. Endocuff seems to improve endoscope tip control, especially during polypectomy. Endocuff may be a useful device for colorectal adenoma screening, and should be investigated in larger trials.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Lenze F,Beyna T,Lenz P,Heinzow HS,Hengst K,Ullerich H

doi

10.1055/s-0034-1365446

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

610-4

issue

7

eissn

0013-726X

issn

1438-8812

journal_volume

46

pub_type

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