P.05.16 Endocuff Vision-Assisted Resection for “Difficult” Colonic Lesions. Efficacy and Safety in a Pilot Randomized Study

Palma, Rui; Panetta, Chiara; Raniolo, Marilena; Gallo, Graziana; Pontone, Stefano

doi:10.1016/s1590-8658(18)30507-3

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We previously assessed the efficacy of ECV during difficult colon polypectomies according to the SMSA scoring system [26]. In our previous preliminary results, stability was significantly higher for ECV-assisted polypectomy (p = 0.025).…”

Section: Discussionmentioning

confidence: 99%

Endocuff Vision-Assisted Resection for Difficult Colonic Lesions—Preliminary Results of a Multicenter, Prospective Randomized Pilot Study

Palma,

Andrisani,

Fanello

et al. 2023

JCM

View full text Add to dashboard Cite

Background—Screening programs for colorectal cancer are implemented due to their ability to reduce mortality. The Endocuff Vision is a new endoscopic device that significantly improves the adenoma detection rate. The primary outcome was to assess the efficacy of ECV in improving stability and reducing operation time during difficult colon polypectomies in a multicenter randomized prospective study. Methods—In a randomized multicenter pilot study, two groups of patients who underwent difficult polypectomies with and without the assistance of Endocuff Vision were compared. Demographics and clinical characteristics of patients were obtained, and polyps’ size, morphology, site, and access (SMSA); polypectomy time; and endoscope stability were evaluated. Results—From October 2016 to April 2020, 32 patients were enrolled. In total, 12 patients underwent Endocuff Vision polypectomy, and 20 patients underwent standard polypectomy by using a computer-generated random number table. No statistical differences were found in clinical characteristics, SMSA, and polypectomy time. The most interesting findings were the positive correlations between shaking and SMSA (r = 0.55, p = 0.005) and shaking and polypectomy time (r = 0.745, p < 0.0001). Conclusion—Endocuff Vision seems to be adequately stable during difficult endoscopic resection procedures. The new parameter proposed that shaking is strongly correlated to the stability of the endoscope, the difficulty of the resection (SMSA), and the polypectomy time.

show abstract

Section: Discussionmentioning

confidence: 99%