The impact of EndoCuff-assisted colonoscopy on the polyp detection rate: A cross-over randomized back-to-back study

IF 1.1 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Arab Journal of Gastroenterology Pub Date : 2024-05-01 DOI:10.1016/j.ajg.2023.11.007

Mohammed Sherif Naguib , Ahmed Khairy , Hany Shehab , Hazem Abosheaishaa , Abdel Meguid Kassem

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引用次数: 0

Abstract

Background and study aims

Colorectal cancer (CRC) is one of the most common cancers worldwide, and most CRCs develop from polyps with malignant potential. We aimed to study the difference in polyp detection rate between EndoCuff-assisted colonoscopies (EAC) and standard colonoscopy (SC).

Patients and methods

This study was conducted at Cairo University Hospitals on patients referred for screening or diagnostic colonoscopy from July 2018 to August 2020. All included patients underwent back-to-back standard colonoscopy (SC) and ENDOCUFF VISION-assisted colonoscopies (EAC).

Results

214 patients were included in this study. In comparison between EAC and SC, EAC increased the polyp detection rate (69 (32.24 %) vs. 57(26.64 %) (p < 0.05), EAC increased the detection of diminutive polyps ≤ 5 mm (104 vs. 81) (p < 0.05), and small polyps 6–9 mm (12 vs. 10) while there was no difference in large polyps ≥ 10 mm. EAC increased the adenoma detection rate (ADR) (37 (17.2 %) vs. 32(14.9 %) (p < 0.05). The findings detected by EAC shortened the interval of surveillance determined by SC findings. EndoCuff caused six mucosal erosions (2.8 %) in patients.

Conclusion

EAC increases the number of detected colonic polyps, primarily small polyps on the left and right sides of the colon.

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EndoCuff辅助结肠镜检查对息肉检出率的影响：交叉随机背靠背研究。

背景和研究目的：结肠直肠癌（CRC）是全球最常见的癌症之一，大多数 CRC 由具有恶性潜能的息肉发展而来。我们旨在研究 EndoCuff 辅助结肠镜检查（EAC）与标准结肠镜检查（SC）在息肉检出率方面的差异：本研究于 2018 年 7 月至 2020 年 8 月在开罗大学医院进行，对象是转诊进行筛查或诊断性结肠镜检查的患者。所有纳入患者均接受了背靠背标准结肠镜检查（SC）和ENDOCUFF VISION辅助结肠镜检查（EAC）。结果：本研究共纳入 214 名患者，EAC 与 SC 相比，EAC 提高了息肉检出率（69（32.24%）对 57（26.64%））（p 结论：EAC 提高了息肉检出率：EAC 增加了结肠息肉的检出数量，主要是结肠左右两侧的小息肉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arab Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： Arab Journal of Gastroenterology (AJG) publishes different studies related to the digestive system. It aims to be the foremost scientific peer reviewed journal encompassing diverse studies related to the digestive system and its disorders, and serving the Pan-Arab and wider community working on gastrointestinal disorders.