Colonoscopy is considered the most effective method for detecting and removing colorectal adenomas and is recommended as the primary screening modality for CRC, and missing these lesions is related to interval CRC. The colon has angulated segments and haustral bends, which create blind areas and potentially lead to missed adenomas. Therefore, the development of devices attached to the distal end of a colonoscope that helps to flatten such areas and expose the mucosa is potentially useful. Endocu
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects aged >= 40 years who were referred for colonoscopy due to clinical symptoms or for CRC screening
Exclusion criteria
Exclusion criteria: Individuals who met any of the following criteria were excluded: (i) history of colorectal surgery or polypectomy, (ii) preendoscopic suspicion of colorectal obstruction, (iii) known colonic stricture or severe diverticulosis, (iv) uncorrected coagulation disorders or ongoing anticoagulant therapy that had not been appropriately discontinued, (v) inadequate bowel preparation, or (vi) incomplete colonoscopy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| colorectal adenoma detection rate (ADR) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. the ADR and polyp detection rate (PDR), the advanced adenoma detection rate (AADR) and the serrated sessile lesion detection rate (SSLDR) 2. the mean number of adenomas per procedure (MAP) and the mean number of polyps per procedure (MPP) 3. the cecal intubation time and the withdrawal time 4. the difficulty of scope insertion assessed by endoscopists | — |
Countries
Asia(except Japan)
Contacts
University of Medicine and Pharmacy at Ho Chi Minh City Department of Internal Medicine