Endocuff-Assisted Colonoscopy Versus Standard Colonoscopy for Detection of Colonic Lesions | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 4, April 2024 | ||||
| DOI: 10.58675/2682-339X.2347 | ||||
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| Authors | ||||
| Mohammed Abd El-Sayed Abdou; Ali Soliman; Osama Abdelrazek; Ahmed Abdelmalek | ||||
| Gastroenterology, Hepatology, and infectious diseases Faculty of Medicine, Al-Azhar University , Cairo , Egypt | ||||
| Abstract | ||||
| Background: Colonoscopy is the primary screening modality used to diagnose various colonic lesions that are often overlooked due to the endoscopist's proficiency and the condition of the bowel preparation. However, other aspects related to the form and architecture of the lesions contribute to this. People often overlook small lesions, like diminutive polyps, with potential malignancy rates. Aim : The objective is to evaluate the effectiveness of endocuff-assisted colonoscopy in enhancing the identification of diverse colonic lesions and boosting cecal intubation rates. Methods: We carried out a randomized clinical trial, enrolling 100 patients with diverse abdominal symptoms who visited the Al-Azhar University Hospital endoscopic unit from January 2023 to June 2023 for colonoscopy, all requiring a lower gastrointestinal endoscopy. We performed a standard colonoscopy on each patient first, followed by an end cuff-assisted colonoscopy in the same session. Results: Endoscopes with endo cuff tubes can significantly detect more colonic lesions (p-value Conclusion: Endocuff-assisted colonoscopy outperforms standard colonoscopy in detecting colonic polyps, mainly due to its minimal ulceration rate; however, it's essential to balance the risks against the benefits. | ||||
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