Faster colonoscope withdrawal time without impaired detection using EndoRings
| Autor: | Jonathan R. Garcia, Andrew W. Sullivan, Prasanna L. Ponugoti, Douglas K. Rex, John C. Thygesen, Heather M. Broadley, William W. Tippins |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Original article Adenoma medicine.diagnostic_test business.industry medicine.medical_treatment Colonoscopy Withdrawal time medicine.disease Polypectomy Surgery 03 medical and health sciences 0302 clinical medicine Insertion time 030220 oncology & carcinogenesis Medicine lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Pharmacology (medical) lcsh:RC799-869 Detection rate business Practice trial |
| Zdroj: | Endoscopy International Open Endoscopy International Open, Vol 06, Iss 08, Pp E957-E960 (2018) |
| ISSN: | 2364-3722 |
| Popis: | Background and study aims Mucosal exposure devices on the colonoscope tip have improved detection. We evaluated detection and procedure times in colonoscopies performed with EndoRings. Patients and methods We had 14 endoscopists in a university practice trial EndoRings. We compared detection and procedure times to age- and indication-matched procedures by the same endoscopists. Results There were 137 procedures with EndoRings. The adenoma detection rate was 44 % with EndoRings vs. 39 % without (P = 0.39). Mean adenomas per colonoscopy (standard deviation) was 1.2 (2.3) with EndoRings vs. 0.9 (1.6) without (P = 0.055). Mean insertion time with EndoRings was 6.2 (3.2) minutes vs. 6.6 (6.7) minutes without (P = 0.81). Mean withdrawal time with EndoRings in all patients with or without polypectomy was 12.2 (5.3) minutes and 16.1 (10.3) minutes without (P = 0.0005). Conclusion EndoRings may allow faster withdrawal during colonoscopy without any reduction in detection. Prospective trials with mucosal exposure devices targeting procedure times as primary endpoints are warranted. |
| Databáze: | OpenAIRE |
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