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A new accessory, endoscopic cuff, improves colonoscopic access for complex polyp resection

A new accessory, endoscopic cuff, improves colonoscopic access for complex polyp resection and scar assessment in the sigmoid colon.

Zacharias P. Tsiamoulos, MD, Brian P. Saunders, MD, FRCP Gastrointestinal endoscopy.2012 76; (6): 1242-45

ENDOCUFF™ assisted colonoscopy was used in patients who had been referred for endoscopic resection of large flat/sessile sigmoid colon polyps or for surveillance of post polypectomy scars in the sigmoid colon where conventional methods to achieve stable access and visualization had been unsuccessful. The ENDOCUFF™ was used in five patients to assist EMR, and seven patients for post-EMR scar surveillance All sessile/flat polyps (mean size 29 mm) or post-EMR scar sites (mean size 15 mm) were located at acute bends in the sigmoid colon. The ENDOCUFF™ improved access by flattening/depressing colon folds close to the lesion/scar. The entire polyp/scar surface was revealed, facilitating complete polyp excision and meticulous scar assessment. There were no immediate or delayed adverse events.

Conclusion: The ENDOCUFF™ appears to be a safe and easily used accessory to facilitate colonoscopic access for complex polypectomy and scar assessment in the sigmoid colon.

" The Endocuff is feasible, safe, reliable and easy to handle and might have potential to reduce the incidence of colorectal cancer "

Dr Meister, Clinical Endocrirology News Digital Network

" ...potential to become an indispensable tool of every colon cancer surveillance program "

Dr Meister, UEGW 2014

" My colleagues and I have definitely found polyps that they didn’t see with the forward view. We feel we were doing an excellent exam with current colonoscopy and that this made it better. "

Outpatient Surgery Magazine

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