الفهرس 
Title : The impact of EndoCuff-assited colonoscopy on the polyp detection rate: a randomized back-to-back study
AbstractOnly 14 pages are availabe for public view
 |  | from | 96 |  |  |
| | | from | 96 | | |
Abstract
Background: Colorectal cancer (CRC) is one of the most common cancers worldwide and most CRCs develop from malignant potential polyps, especially adenomas. Screening is associated with a reduction in CRC incidence through the detection and removal of precancerous polyps. In order to improve mucosal visualization, behind-folds visualizing techniques have been developed.Transparent caps, EndoRings TM and ENDOCUFF VISION{u2122}, are devices applied at the tip of the standard colonoscopies help to stretch the mucosa and flatten colon folds during colonoscopic withdrawal, thus improving the visualization of the hidden areas. Aim of the work: The aim of this study was to ascertain if there was a difference in polyp detection rate between EAC and standard colonoscopy. Patients and Methods This study was conducted on Patients referred to Gastrointestinal Endoscopy and Liver Unit Kasr Al Ainy (GIELUKA), Cairo University for screening or diagnostic colonoscopy, from July 2018 to August 2020. All included patients underwent back-to-back standard colonoscopies and ENDOCUFF VISION assisted colonoscopies (EAC) in a random order, performed by the same endoscopist. All found data from colonoscopies was then analyzed. Results: A 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{u2264} 0.05), EAC increased the detection of dimminutive polyps {u2264} 5 mm (104 vs 81: P {u2264} 0.05) and small polyps (12 vs 10) while there was no difference in large polyps {u2265}10mm.EAC increased adenoma detection rate ADR (37 (17.2%) vs 32(14.9%):P{u2264} 0.05) the findings detected by EAC shortened the interval of surveillance determined by SC findings. EndoCuff caused 6 mucosal erosions (2.8%) of patients. Conclusion: EAC increases number of detected colonic polyps, primarily small polyps in the left and right sides of the colon.This will increase the polyp detection rate and helps in the surveillance program