Colorectal Polyps, Colorectal Adenomas
Conditions
Keywords
adenoma detection rate, polyp detection rate, withdrawal time, coecal and ileum intubation rate
Brief summary
Comparison of Endocuff-assisted, Cap-assisted and Standard colonoscopy for assessment of the adenoma detection rate (ADR)
Detailed description
The Endocuff is a medical device, approved in 2012 by the American Food and Drug Administration, which was also authorized by the European Agency for the Evaluation of Medicinal Products. The aim of the cuff is to optimize the view of the colonic mucosa. There is also a transparent cap on the market, which is used in colonoscopy for a better evaluation of the mucosa and polyp detection. The goal of this project is to conduct a prospective randomized trial for clarification of the hypotheses, whether the usage of the Endocuff increases the detection rate of adenomas compared to the transparent cap or compared to standard colonoscopy.
Interventions
Olympus Disposable distal attachment 15mm diameter, 4mm depth
Sponsors
Study design
Eligibility
Inclusion criteria
* Colonoscopy independent from indication * Age ≥ 18 * Patient is able to provide informed consent for the procedure
Exclusion criteria
* Inflammatory Bowel Disease stenosis * Pregnant of nursing patient * Acute diverticulitis * Active Inflammatory Bowel Disease * Age ≤ 18 * Coagulation disorder (INR\>1.4 , Thrombocytes \< 50000/µl)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adenoma detection rate | 1 year | Proportion of patients having at least one adenoma |
| Polyp detection rate | 1 year | Proportion of patients having at least one adenoma |
Secondary
| Measure | Time frame |
|---|---|
| Ileum intubation rate | one year |
| Coecum intubation time | one day |
| withdrawal time | one day |
| Bowel preparation result | one day |
| severe bleeding | one day |
| perforation | one day |
| mucosal laceration | one day |
| Coecum intubation rate | one year |
Countries
Germany, Poland