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Endocuff-Assisted versus Cap-Assisted Colonoscopy Performed by Trainees: A Retrospective Study
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Yutaka Okagawa, Tetsuya Sumiyoshi, Yusuke Tomita, Shutaro Oiwa, Fumihiro Ogata, Takashi Jin, Masahiro Yoshida, Ryoji Fujii, Takeyoshi Minagawa, Kohtaro Morita, Hideyuki Ihara, Michiaki Hirayama, Hitoshi Kondo
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Clin Endosc 2020;53(3):339-345. Published online January 10, 2020
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DOI: https://doi.org/10.5946/ce.2019.124
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Abstract
PDFPubReaderePub
- Background
/Aims: The adenoma detection rate (ADR) of screening colonoscopies performed by trainees is often lower than that of colonoscopies performed by experts. The effcacy of cap-assisted colonoscopy (CAC) in adenoma detection is well documented, especially that of CACs performed by trainees. Endocuff, a new endoscopic cap, is reportedly useful for adenoma detection; however, no trials have compared the effcacy of Endocuff-assisted colonoscopy (EAC) and CAC conducted by trainees. Therefore, the present study retrospectively compared the effcacy between EAC and CAC in trainees.
Methods This was a single-center, retrospective study involving 305 patients who underwent either EAC or CAC performed by three trainees between January and December 2018. We evaluated the ADR, mean number of adenomas detected per patient (MAP), cecal intubation rate, cecal intubation time, and occurrence of complications between the EAC and CAC groups.
Results The ADR was significantly higher in the EAC group than in the CAC group (54.3% vs. 37.3%, p=0.019), as was the MAP (1.36 vs. 0.74, p=0.003). No significant differences were found between the groups with respect to the cecal intubation rate or cecal intubation time. No major complications occurred in either group.
Conclusions Our results suggest that EAC exhibits increased ADR and MAP compared to CAC when performed by trainees.
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Citations
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Mohammed Sherif Naguib, Ahmed Khairy, Hany Shehab, Hazem Abosheaishaa, Abdel Meguid Kassem Arab Journal of Gastroenterology.2024; 25(2): 102. CrossRef - Comparative Efficacy of Endoscopic Assist Devices on Colonic Adenoma Detection
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Tae-Geun Gweon, Sang-Bum Kang Clinical Endoscopy.2020; 53(3): 251. CrossRef - Endocuff‐assisted colonoscopy versus cap‐assisted colonoscopy for adenoma detection rate: A meta‐analysis of randomized controlled trials
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Metachronous Gastric Cancer Following Curative Endoscopic Resection of Early Gastric Cancer
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Seiichiro Abe, Ichiro Oda, Takeyoshi Minagawa, Masau Sekiguchi, Satoru Nonaka, Haruhisa Suzuki, Shigetaka Yoshinaga, Amit Bhatt, Yutaka Saito
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Clin Endosc 2018;51(3):253-259. Published online September 18, 2017
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DOI: https://doi.org/10.5946/ce.2017.104
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Abstract
PDFPubReaderePub
- This review article summarizes knowledge about metachronous gastric cancer (MGC) occurring after curative endoscopic resection (ER) of early gastric cancer (EGC), treatment outcomes of patients who developed MGC, and efficacy of Helicobacter pylori eradication to prevent MGC. The incidence of MGC following curative ER increases over time and is higher than in patients undergoing gastrectomy. Increasing age and multifocal EGC are independent risk factors for developing MGC. An MGC following curative ER is usually a small (<20 mm) and differentiated intramucosal cancer. Most MGC lesions are found at an early stage on semiannual or annual surveillance endoscopy and are successfully treated by further ER, with excellent long-term outcomes. Eradication of H. pylori may reduce the risk of MGC following ER of EGC, but further prospective studies with long-term outcomes are required. Surveillance endoscopy following gastric ER should be continued indefinitely, due to the risk of MGC even after successful H. pylori eradication. Risk stratification and tailored endoscopic surveillance schedules need to be developed.
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