The University of Amsterdam in the Netherlands led a multicenter, randomized study of five hospitals and 1,063 patients. Researchers performed colonoscopies on fecal immonochemical test-positive screening participants and symptomatic patients.
Of the patients, 530 received endocuff-assisted colonoscopies and 533 received conventional colonoscopies.
Here’s what they found.
1. Endocuff assisted colonoscopies detected 722 adenomas compared to 621 adenomas through conventional methods.
2. The mean number of adenomas per patient was not significant, however. EAC detected 1.36 to CC’s 1.36 per patient.
3. In the EAC group, 275 had one or more adenomas detected, compared to 278 for the CC group.
4. Concerning advanced adenomas, EAC detected 109 to CC’s 117.
5. Adjusted caecal intubation rates were lower with EAC (94 percent) than with CC (99 percent).
Researchers concluded, “Though more adenomas are detected with EAC, the routine use of Endocuff does not translate in a higher number of patients with one or more adenomas detected.”
The results did not indicate whether the increased detection results in a lower interval carcinoma rate.
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