Endocuff‐assisted colonoscopy versus cap‐assisted colonoscopy for adenoma detection rate: A meta‐analysis of randomized controlled trials

Abstract

were responsible for analyzing the data and drafting the manuscript. Xiao-Xiao Yang, Ru-Chen Zhou and Bing-Cheng Feng were involved in data collection.

Impact of EndoRings on colon adenoma detection rate: A meta‐analysis of randomized trials

“…A recent network meta‐analysis published by our group demonstrated the highest improvement in ADRs with use of Endocuff (Endocuff®, Arc Medical Design, Leeds, UK), although without clear benefit over the other commonly used add‐on device, namely, Cap (Olympus Medical Systems, Tokyo, Japan). This finding has been recently confirmed in two pairwise meta‐analyses of randomized controlled trials (RCTs) directly comparing the two devices 14,15 …”

“…However, one of the main limitations of the aforementioned systematic reviews 11–15 was the very limited evidence available concerning the use of EndoRings® (EndoAid Ltd, Caesarea, Israel), which prevented a valid assessment of the impact of this newer device in the endoscopic practice. In a previous four‐arm RCT, directly comparing EndoRings with Endocuff, full‐spectrum endoscopy (FUSE), and standard colonoscopy, EndoRings seemed to have even more of a tendency than Endocuff to straighten the lumen and flatten the haustral folds in the left side of the colon, although its mucosal gripping properties seemed to cause it to jump back twofold or threefold at times during withdrawal through the sigmoid 16 …”

How to Approach Small Polyps in Colon: Tips and Tricks

“…The transparent cap is a disposable, clear plastic cylinder that is attached in the tip of the colonoscope while the endocuff is a newer disposable device with soft projections that flatten the mucosal folds during withdrawal 30 . In a recent meta-analysis of 6 RCTs, endocuff-assisted colonoscopy significantly improved detection rate of diminutive polyps compared to cap-assisted colonoscopy 31 .…”

Editorial: Cuff‐ and cap‐assisted colonoscopy: More questions than answers

“…Two recent meta-analyses included six RCTs and found no difference in ADR, withdrawal time or cecal intubation rate, but EAC detected more diminutive polyps. 9,10 Another study compared all available attachable devices in a network meta-analysis of 25 RCTs. Only a modest increase in ADR was found with EAC (relative risk [RR] 1.13; 95% CI, 1.03-1.23), in particular in low-performing endoscopists.…”

“…In addition, different RCTs did not find a difference when using EAC or CAC and showed even, in part, conflicting results. Two recent meta‐analyses included six RCTs and found no difference in ADR, withdrawal time or cecal intubation rate, but EAC detected more diminutive polyps 9,10 . Another study compared all available attachable devices in a network meta‐analysis of 25 RCTs.…”