The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program
Background and study aims Colorectal cancer (CRC) screening with biennial fecal occult blood test has been shown to reduce CRC mortality. For the effectiveness of the CRC screening program is crucial that a high-quality colonoscopy with a high adenoma detection rate (ADR) be performed. To improve AD...
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doaj-1f3d9efe59e34e878fb25d451bd14b622020-11-25T03:55:17ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362018-03-010604E437E44210.1055/a-0578-8515The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening programLucas G. Cavallaro0Cesare Hassan1Pierenrico Lecis2Ermenegildo Galliani3Elisabetta Dal Pont4Paolo Iuzzolino5Claudia Roldo6Fabio Soppelsa7Bastianello Germanà8Gastroenterology Unit, San Martino Hospital, ULSS 1, Belluno, ItalyGastroenterology Unit, Nuovo Regina Margherita Hospital, Rome ItalyGastroenterology Unit, San Martino Hospital, ULSS 1, Belluno, ItalyGastroenterology Unit, San Martino Hospital, ULSS 1, Belluno, ItalyGastroenterology Unit, San Martino Hospital, ULSS 1, Belluno, ItalyPathology Unit, San Martino Hospital, ULSS 1, Belluno ItalyPathology Unit, San Martino Hospital, ULSS 1, Belluno ItalyPublic Health Service, San Martino Hospital, ULSS 1, Belluno, ItalyGastroenterology Unit, San Martino Hospital, ULSS 1, Belluno, ItalyBackground and study aims Colorectal cancer (CRC) screening with biennial fecal occult blood test has been shown to reduce CRC mortality. For the effectiveness of the CRC screening program is crucial that a high-quality colonoscopy with a high adenoma detection rate (ADR) be performed. To improve ADR, various endoscopic devices have been developed. Endocuff, an endoscopic cap with finger-like projections, has been shown to improve ADR. The aim of this study was to compare in an organized CRC screening program ADR, advanced adenoma detection rate (AADR) and mean number of adenomas per patient (MAP) using standard colonoscopy (SC) and Endocuff-assisted colonoscopy (EAC). Patients and methods We compared performance of SC (in 2014) and EAC (in 2015) in consecutive participants in an organized CRC screening program. Results SC and EAC were performed in 546 (284 males) and 519 (293 males) subjects, respectively (mean age 60 years). Cecal intubation rate was 97.4 % for SC and 97.1 % for EAC and not significantly different (P = 0.7). ADR was 47 % for SC and 52 % for EAC, P = 0.1. MAP in SC and EAC were 0.87 (range: 0 – 7) and 1.11 (range: 0 – 13) respectively, P = 0.02. AADR rate was 25 % and 23 % for SC and EAC, respectively, P = 0.5. Conclusion Endocuff-assisted colonoscopy does not improve the number of patients with at least one adenoma but it may increase the number of detected adenomas per procedure.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0578-8515 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lucas G. Cavallaro Cesare Hassan Pierenrico Lecis Ermenegildo Galliani Elisabetta Dal Pont Paolo Iuzzolino Claudia Roldo Fabio Soppelsa Bastianello Germanà |
spellingShingle |
Lucas G. Cavallaro Cesare Hassan Pierenrico Lecis Ermenegildo Galliani Elisabetta Dal Pont Paolo Iuzzolino Claudia Roldo Fabio Soppelsa Bastianello Germanà The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program Endoscopy International Open |
author_facet |
Lucas G. Cavallaro Cesare Hassan Pierenrico Lecis Ermenegildo Galliani Elisabetta Dal Pont Paolo Iuzzolino Claudia Roldo Fabio Soppelsa Bastianello Germanà |
author_sort |
Lucas G. Cavallaro |
title |
The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program |
title_short |
The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program |
title_full |
The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program |
title_fullStr |
The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program |
title_full_unstemmed |
The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program |
title_sort |
impact of endocuff-assisted colonoscopy on adenoma detection in an organized screening program |
publisher |
Georg Thieme Verlag KG |
series |
Endoscopy International Open |
issn |
2364-3722 2196-9736 |
publishDate |
2018-03-01 |
description |
Background and study aims Colorectal cancer (CRC) screening with biennial fecal occult blood test has been shown to reduce CRC mortality. For the effectiveness of the CRC screening program is crucial that a high-quality colonoscopy with a high adenoma detection rate (ADR) be performed. To improve ADR, various endoscopic devices have been developed. Endocuff, an endoscopic cap with finger-like projections, has been shown to improve ADR. The aim of this study was to compare in an organized CRC screening program ADR, advanced adenoma detection rate (AADR) and mean number of adenomas per patient (MAP) using standard colonoscopy (SC) and Endocuff-assisted colonoscopy (EAC).
Patients and methods We compared performance of SC (in 2014) and EAC (in 2015) in consecutive participants in an organized CRC screening program.
Results SC and EAC were performed in 546 (284 males) and 519 (293 males) subjects, respectively (mean age 60 years). Cecal intubation rate was 97.4 % for SC and 97.1 % for EAC and not significantly different (P = 0.7). ADR was 47 % for SC and 52 % for EAC, P = 0.1. MAP in SC and EAC were 0.87 (range: 0 – 7) and 1.11 (range: 0 – 13) respectively, P = 0.02. AADR rate was 25 % and 23 % for SC and EAC, respectively, P = 0.5.
Conclusion Endocuff-assisted colonoscopy does not improve the number of patients with at least one adenoma but it may increase the number of detected adenomas per procedure. |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0578-8515 |
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