Endocuff Assisted Colonoscopy Increases Adenoma Detection Rates: a Multi-Center Study
Joseph, Demetrios Tzimas, Matthew Mckinley, David H. Robbins, Anish Mammen, Edward Sun, Priyanka Chugh, Farid Razavi, Nazia Hasan, Jonathan Buscaglia, Juan Carlos Bucobo, Satish Nagula, ADAM J Goodman, Mark Pochapin, Seth A Gross Gastrointestinal Endoscopy 2014 Volume 79, No. 5S AB443
A multicenter US study retrospectively compared 165 patients who had undergone screening and surveillance with ENDOCUFF™ assisted colonoscopy and 153 where standard colonoscopy had been used. The average number of polyps detected per patient in the ENDOCUFF™ group was 1.31 vs. 0.82 (p=<0.001) and the average number of adenomas 0.8 vs 0.38 (p=<0.001) which is an increase of 110%. The ADR was also higher amongst patients where the ENDOCUFF™ was used compared with standard colonoscopy (46.6% vs. 30.0%, p=0.002) a difference of 16.6% which is 55% more than the original ADR. The ENDOCUFF™ was also significantly superior in right sided adenoma detection (32.1% vs 18.3%; p=0.004).
Conclusion: Initial results suggest that ENDOCUFF™ assisted colonoscopy may result in higher overall ADR and be more effective in detecting right-sided adenomas by enabling better inspection of proximal colonic folds.