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.