Endocuff-assisted colonoscopy: a new accessory to improve adenoma detection rate? Technical aspects and first clinical experiences.
OBJECTIVE
The Endocuff is a new colonoscopy accessory that has been designed to improve both the adenoma detection rate and endoscope tip control.


METHODS
A total of 50 Endocuff-assisted colonoscopies were analyzed retrospectively with regard to safety, procedural success, and complications.


RESULTS
The cecal intubation rate was 98 %, and the mean intubation time was 6.0 minutes (95 % confidence interval 5.3 - 6.6 minutes). The ileal intubation rate was 76 %. In 30 % of patients, the Endocuff caused small, superficial, "scratch-like" mucosal lesions. In all other patients, no Endocuff-associated complications were observed. A total of 36 adenomas were detected in 50 patients. The adenoma detection rate was 34 %.


CONCLUSIONS
Endocuff-assisted colonoscopy showed good procedural success rates in terms of cecal intubation rate and time, and a promising adenoma detection rate. Endocuff seems to improve endoscope tip control, especially during polypectomy. Endocuff may be a useful device for colorectal adenoma screening, and should be investigated in larger trials.
Frank
F
Lenze
Department of Medicine B, University of Muenster, Muenster, Germany.
Torsten
T
Beyna
Department of Medicine B, University of Muenster, Muenster, Germany.
Philipp
P
Lenz
Department of Medicine B, University of Muenster, Muenster, Germany.
Hauke S
HS
Heinzow
Department of Medicine B, University of Muenster, Muenster, Germany.
Karin
K
Hengst
Department of Medicine B, University of Muenster, Muenster, Germany.
Hansjoerg
H
Ullerich
D000236:Adenoma / Q000175:diagnosis*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002432:Cecum; D003110:Colonic Neoplasms / Q000175:diagnosis*; D020685:Colonoscopes; D003113:Colonoscopy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D055815:Young Adult