Higher Adenoma Detection Rates with Endocuff-Assisted Colonoscopy A Randomized Controlled Multicenter Trial
Martin Floer, Erwin Biecker, Rudiger Fitzlaff, Hermann Röming, Detlev Ameis, Achim Heinecke, Steffen Kunsch, Volker Ellenrieder, Philipp Ströbel, Michael Schepke, Tobias Meister PLoS ONE 9(12): e114267. doi:10.1371/journal.pone. 0114267
This four centre prospective trial randomised 500 subjects to standard colonoscopy or ENDOCUFF™ assisted colonoscopy the primary outcome measure was the adenoma detection rate (ADR). The ADR increased from 21% to 35% with the use of the ENDOCUFF™ (p = 0.0001) an absolute increase of 14% and a relative improvement of 74%. The total number of adenomas detected rose from 88 to 144, a relative improvement of 64%.The procedure and withdrawal times did not differ. Caecal and ileum intubation rates were similar. No major adverse events occurred in either group.
Conclusion: the ENDOCUFF™ is safe, and substantially improves adenoma detection and removal without lengthening operator time or reducing caecal or ileal intubation.
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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