Randomized control trial of adenoma detection rate in Endocuff‐assisted colonoscopy versus transparent hood‐assisted colonoscopy

• DOI: 10.1111/jgh.14771
• Publication Date: 2019-06-29T19:24:33Z
• Authors: Hiroyuki Imaeda; Minoru Yamaoka; Hideki Ohgo; Hiromitsu Soma; Keigo Ashitani; Kazuya Miyaguchi; Yoshikazu Tsuzuki; Naoki Hosoe; Hidetomo Nakamoto
• Keywords: Withdrawal time; Insertion time

Transparent hood-assisted colonoscopy (TAC) has been reported to improve the cecal insertion rate and adenoma detection (ADR). An endoscopic cap (Endocuff) with two rows of soft wings was recently developed ADR, by flattening mucosal folds during withdrawal. This randomized prospective control study aimed compare ADR between Endocuff-assisted (EAC) TAC.A total 513 patients undergoing colon screening were included. EAC performed in 256 TAC 260 patients. Cecal intubation rate, time, mean number per patient (MAP) investigated both groups (clinical trial registration: UMIN000016278).We excluded six group because colonic stenosis due adenocarcinomas. Finally, 250 (151 men/99 women, median age 62.1 years) assigned 258 (165 men/93 64.3 TAC. There no significant differences withdrawal cleanliness score groups. The 50.8% 52.7% TAC, difference (P = 0.666). MAP 1.35 1.20 0.126). However, diminutive adenomas (< 5 mm) tended be higher than 0.077). each segment groups.Endocuff-assisted might equivalent MAP.