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首页> 外文期刊>Endoscopy International Open >The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program
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The impact of Endocuff-assisted colonoscopy on adenoma detection in an organized screening program

机译：内窥镜辅助结肠镜检查对有组织筛查程序中腺瘤检测的影响

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Background and study aims Colorectal cancer (CRC) screening with biennial fecal occult blood test has been shown to reduce CRC mortality. For the effectiveness of the CRC screening program is crucial that a high-quality colonoscopy with a high adenoma detection rate (ADR) be performed. To improve ADR, various endoscopic devices have been developed. Endocuff, an endoscopic cap with finger-like projections, has been shown to improve ADR. The aim of this study was to compare in an organized CRC screening program ADR, advanced adenoma detection rate (AADR) and mean number of adenomas per patient (MAP) using standard colonoscopy (SC) and Endocuff-assisted colonoscopy (EAC). Patients and methods We compared performance of SC (in 2014) and EAC (in 2015) in consecutive participants in an organized CRC screening program. Results SC and EAC were performed in 546 (284 males) and 519 (293 males) subjects, respectively (mean age 60 years). Cecal intubation rate was 97.4?% for SC and 97.1?% for EAC and not significantly different ( P =?0.7). ADR was 47?% for SC and 52?% for EAC, P =?0.1. MAP in SC and EAC were 0.87 (range: 0?–?7) and 1.11 (range: 0?–?13) respectively, P =?0.02.?AADR rate was 25?% and 23?% for SC and EAC, respectively, P =?0.5. Conclusion Endocuff-assisted colonoscopy does not improve the number of patients with at least one adenoma but it may increase the number of detected adenomas per procedure.
机译：背景和研究目的已经证明，每两年进行一次粪便潜血试验对大肠癌（CRC）进行筛查可降低CRC死亡率。对于CRC筛查程序的有效性，至关重要的是要执行具有高腺瘤检出率（ADR）的高质量结肠镜检查。为了改善ADR，已经开发了各种内窥镜设备。内窥镜是一种具有手指状突起的内窥镜帽，已被证明可以改善ADR。这项研究的目的是在使用标准结肠镜检查（SC）和内腔辅助结肠镜检查（EAC）的有组织CRC筛查程序中比较ADR，晚期腺瘤检出率（AADR）和每位患者的平均腺瘤数量（MAP）。患者和方法我们比较了有组织的CRC筛查计划连续参与者中SC（2014年）和EAC（2015年）的表现。结果分别对546名（284名男性）和519名（293名男性）受试者（平均年龄60岁）进行了SC和EAC。 SC的盲肠插管率为97.4％，EAC的盲肠插管率为97.1％，差异无统计学意义（P =？0.7）。 SC的ADR为47％，EAC的ADR为52％，P =？0.1。 SC和EAC中的MAP分别为0.87（范围：0？–？7）和1.11（范围：0？–？13），P =？0.02。SC和EAC的ADR率为25％和23％，分别地，P ＝≤0.5。结论内镜辅助结肠镜检查不能改善至少一种腺瘤的患者人数，但可能会增加每次手术中检测到的腺瘤的数量。

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