Editorial: Cuff‐ and cap‐assisted colonoscopy: More questions than answers

Published on May 12, 2021in United European gastroenterology journal3.549
· DOI :10.1002/UEG2.12078
Marcus Hollenbach9
Estimated H-index: 9
(Leipzig University),
Peter D. Siersema16
Estimated H-index: 16
(Radboud University Nijmegen)
#1Martin Floer (WWU: University of Münster)H-Index: 7
#1Martin Floer (WWU: University of Münster)H-Index: 2
Last. T Meister (WWU: University of Münster)H-Index: 10
view all 13 authors...
Background and aimsAdenoma detection rate (ADR) in colon cancer screening is most important for cancer prophylaxis. This work is the first three-armed randomised controlled clinical trial aimed at ...
#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Vincenzo Rosario Buccino (University of Foggia)H-Index: 7
Last. Rodolfo Sacco (University of Foggia)H-Index: 26
view all 3 authors...
BACKGROUND AND AIMS Several add-on devices have been developed to increase rates of colon adenoma detection. We aimed to compare the endocuff-assisted colonoscopy with cap-assisted colonoscopy through a pairwise meta-analysis of randomized trials. METHODS We searched the PubMed/Medline and Embase database through March 2020 and identified 6 randomized controlled trials (comprising 2,027 patients). The primary outcome was adenoma detection rate; secondary outcomes included sessile serrated adenom...
1 CitationsSource
#1Ai Li (SDU: Shandong University)H-Index: 1
#2Jing‐Ze Yang (SDU: Shandong University)H-Index: 1
Last. Yan-Qing Li (SDU: Shandong University)H-Index: 26
view all 11 authors...
BACKGROUND AND AIMS Add-on devices have been widely used in clinical practice. The aim of this meta-analysis was to compare the adenoma detection rate (ADR) between Endocuff-assisted colonoscopy (EAC) and cap-assisted colonoscopy (CAC). METHODS PubMed, EMBASE, SCOPUS and Cochrane databases were searched. Outcomes included adenoma detection rate, cecal intubation rate, cecal intubation time, withdrawal time. Dichotomous data were pooled to obtain the odds ratio or risk ratio. Continuous data were...
1 CitationsSource
#1Joseph Marsano (UC Davis: University of California, Davis)H-Index: 3
#2Sheeva Johnson (UC Davis: University of California, Davis)H-Index: 3
Last. Sooraj Tejaswi (UC Davis: University of California, Davis)H-Index: 5
view all 8 authors...
Objectives and study aim Colonoscopy prevents colorectal cancer by removing adenomatous polyps, but missed adenomas lead to interval cancers. Different devices have been used to increase adenoma detection rates (ADR). Two such devices of interest are the transparent cap (Olympus) and Endocuff (ARC Medical). Our study aimed to compare differences in ADR between Endocuff-assisted colonoscopy (EAC), cap-assisted colonoscopy (CAC) and standard colonoscopy (SC). Patients and methods A sample size of ...
1 CitationsSource
Background and Aims EndoCuff is a disposable device applied to standard colonoscopes to improve mucosal visualization. Randomized parallel trials have shown that EndoCuff increases the adenoma detection rate (ADR). The primary aim of this study was to compare the ADR between EndoCuff-assisted colonoscopies (EAC) and standard colonoscopies within a randomized back-to-back trial. Methods This was a single-center randomized crossover study (NCT02374515) involving adult patients undergoing screening...
38 CitationsSource
#1Antonio Facciorusso (University of Foggia)H-Index: 19
#2Valentina Del Prete (University of Foggia)H-Index: 13
Last. Nicola Muscatiello (University of Foggia)H-Index: 22
view all 8 authors...
Background & Aims Several add-on devices have been developed to increase rates of colon adenoma detection (ADR). We assessed their overall and comparative efficacy, and estimated absolute magnitude of benefit through a network meta-analysis. Methods We searched the PubMed/Medline and Embase database through March 2017 and identified 25 randomized controlled trials (comprising 16,103 patients) that compared the efficacy of add-on devices (cap; Endocuff; Arc Medical Design Ltd, Leeds, UK, and Endo...
29 CitationsSource
#1Michal F. KaminskiH-Index: 26
#2Paulina WieszczyH-Index: 10
Last. Jaroslaw RegulaH-Index: 36
view all 14 authors...
Background & Aims The quality of endoscopists' colonoscopy performance is measured by adenoma detection rate (ADR). Although ADR is associated inversely with interval colorectal cancer and colorectal cancer death, the effects of an increasing ADR have not been shown. We investigated whether increasing ADRs from individual endoscopists is associated with reduced risks of interval colorectal cancer and subsequent death. Methods We performed a prospective cohort study of individuals who underwent a...
171 CitationsSource
#1Rupam Bhattacharyya (University of Portsmouth)H-Index: 5
#1Rupam Bhattacharyya (University of Portsmouth)H-Index: 1
Last. Pradeep BhandariH-Index: 41
view all 12 authors...
Background and study aims Up to 25 % colorectal adenomas are missed during colonoscopy. The aim of this study was to investigate whether the endocuff could improve polyp detection in an organized bowel cancer screening program (BCSP). Patients and methods This parallel group, single-blinded, randomized controlled trial included patients with positive fecal occult blood test (FOBT) who were attending for BCSP colonoscopy. The primary outcome was the number of polyps per patient. Secondary outcome...
41 CitationsSource
#1Fazia MirH-Index: 7
#2Christine BoumitriH-Index: 8
Last. Matthew L. BechtoldH-Index: 29
view all 7 authors...
Background In an effort to improve visualization during colonoscopy, a transparent plastic cap or hood may be placed on the end of the colonoscope. Cap-assisted colonoscopy (CAC) has been studied and is thought to improve polyp detection. Numerous studies have been conducted comparing pertinent clinical outcomes between CAC and standard colonoscopy (SC) with inconsistent results. Methods Numerous databases were searched in November 2016. Only randomized controlled trials (RCTs) involving adult s...
5 CitationsSource
#1Michal F. Kaminski (Oslo University Hospital)H-Index: 26
#2Siwan Thomas-Gibson (Imperial College London)H-Index: 30
Last. Matthew D. Rutter (Durham University)H-Index: 48
view all 29 authors...
The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for lower gastrointestinal endoscopy. We recommend that endoscopy services across Europe adopt the following seven key performance measures for lower gastrointestinal endoscopy for measurement and evaluation in daily practice at a center and endoscopist level: 1 Rate of adequate bowel preparation (minimum standard 90 %); 2 Cecal intubation rate (minimum standar...
208 CitationsSource
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