title: Impact of a transparent hood on the performance of total colonoscopy: a randomized controlled trial.
abstract: BACKGROUND
  Clinical demand for total colonoscopy (TCS) is increasing. Improvement of the cecal intubation rate and shortening of the examination time would expand the capacity for TCS.
  
  
  OBJECTIVE
  To assess the efficacy of a transparent hood attached to the tip of a colonoscope for cecal intubation in TCS.
  
  
  METHODS
  Prospective, randomized, controlled study.
  
  
  METHODS
  Single tertiary-referral center.
  
  
  METHODS
  TCS.
  
  
  METHODS
  Cecal intubation time and rate, complications, patient discomfort, and detection rate of colonic polyps.
  
  
  METHODS
  Patients who were to undergo screening and/or surveillance TCS for colorectal cancer were invited to participate in the study. Cecal intubation time and rate, complications, patient discomfort, and detection rate of colonic polyps were evaluated.
  
  
  RESULTS
  A total of 592 patients enrolled in this study were randomly allocated to the hood group and no-hood group. The mean (SD) cecal intubation time in the hood group and the no-hood group was 10.2 +/- 12.5 minutes and 13.4 +/- 15.8 minutes, respectively (P = .0241). The effect of its use was more prominent in the expert endoscopists group compared with those with moderate experience. The cecal intubation rate and the detection rate of small polyps in the 2 groups were similar. The grade of patient discomfort was significantly lower in the hood group. No complications were encountered with the use of the hood.
  
  
  CONCLUSIONS
  Use of a transparent hood on the tip of a colonoscope shortened the time required for cecal intubation and decreased patient discomfort; such use was more effective among experts in shortening the examination time.
authors.affiliation: Department of Gastroenterology, Sendai City Medical Center, Sendai, Miyagi, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Harada
authors.forename: Dai
authors.initials: D
authors.lastname: Hirasawa
authors.forename: Naotaka
authors.initials: N
authors.lastname: Fujita
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Noda
authors.forename: Go
authors.initials: G
authors.lastname: Kobayashi
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Ishida
authors.forename: Makoto
authors.initials: M
authors.lastname: Yonechi
authors.forename: Kei
authors.initials: K
authors.lastname: Ito
authors.forename: Takashi
authors.initials: T
authors.lastname: Suzuki
authors.forename: Toshiki
authors.initials: T
authors.lastname: Sugawara
authors.forename: Jun
authors.initials: J
authors.lastname: Horaguchi
authors.forename: Osamu
authors.initials: O
authors.lastname: Takasawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Obana
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Oohira
authors.forename: Kengo
authors.initials: K
authors.lastname: Onochi
authors.forename: Yoshihide
authors.initials: Y
authors.lastname: Kanno
authors.forename: Masatake
authors.initials: M
authors.lastname: Kuroha
authors.forename: Wataru
authors.initials: W
authors.lastname: Iwai
mesh_terms: D002432:Cecum; D020685:Colonoscopes; D003113:Colonoscopy / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies