Kansas City, Mo.-based University of Kansas Medical Center’s Madhav Desai, MD, and colleagues conducted a systematic review and meta-analysis of cap-assisted colonoscopy on right-sided ADRs compared to standard colonoscopies.
Researchers screened and analyzed data from four studies. The cap-assisted colonoscopy group had 2,546 patients and the standard group was 2,547 patients eligible for this study. An additional 3,159 cap-assisted colonoscopy patients and 3,137 standard colonoscopy patients were analyzed to estimate the amount of right-sided adenomas per patient.
Here’s what they found:
1. Right-adenoma detection rate was higher with cap-assisted colonoscopy than through standard colonoscopy.
2. Cap-assisted colonoscopy improved flat adenoma detection rates.
3. The total number of right-sided adenomas and right-sided adenomas per patient were higher in the cap-assisted colonoscopy groups, but researchers said that was not statistically significant.
4. Seventeen cap-assisted colonoscopies would be required to detect an “additional patient with right-sided adenoma.”
Researchers concluded, “Use of CC significantly improves the proximal colon ADR. In addition, flat adenoma and serrated colonic lesion detection rates are also significantly higher as compared with SC.”
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