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World J Clin Cases. Jul 16, 2017; 5(7): 258-263
Published online Jul 16, 2017. doi: 10.12998/wjcc.v5.i7.258
New device to implement the adenoma detection rate
Maddalena Zippi, Wandong Hong, Pietro Crispino, Giampiero Traversa
Maddalena Zippi, Giampiero Traversa, Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini Hospital, 00157 Rome, Italy
Wandong Hong, Department of Gastroenterology and Hepatology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
Pietro Crispino, Unit of Medicine and Urgency, San Giovanni Hospital, 85042 Lagonegro, Italy
Author contributions: Zippi M and Traversa G made substantial contribution to study conception and design; Hong W and Crispino P were involved in acquisition, analysis and interpretation of data; Zippi M and Traversa G were involved in drafting the article, revising it critically for important intellectual content and gave final approval of the version to be published.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Maddalena Zippi, MD, PhD, Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini Hospital, Via dei Monti Tiburtini 385, 00157 Rome, Italy. maddalena.zippi@aslroma2.it
Telephone: +39-6-41433310 Fax: +39-6-41733847
Received: February 4, 2017
Peer-review started: February 7, 2017
First decision: May 8, 2017
Revised: May 17, 2017
Accepted: May 30, 2017
Article in press: May 31, 2017
Published online: July 16, 2017
Processing time: 159 Days and 8.1 Hours
Abstract

It is well-known that colonoscopy is considered the gold standard for colon cancer prevention. Although performed by experienced endoscopists, the matter remains of polyps missed during this examination. The reasons may include the size, shape and location of the lesions. Many colorectal cancer screening programs have been proposed to increase the adenoma detection rate. The substantial difference between these methods is whether the improvement in vision, particularly the detection of irregularities of the mucosa, is inside the endoscope electronic components (magnification, wide-angle vision, narrow band imaging, flexible spectral imaging colour enhancement, i-Scan) or outside the same, by the use of specific caps (EndoCuff, EndoVision, EndoRings). Endocuff is a plastic device mounted at the end of the scope with a constant vision field of the entire colon. The aim of this study is to explore the potential clinical and technical benefits of Endocuff.

Keywords: Adenoma detection rate, Cap-assisted colonoscopy, Colorectal cancer, Endocuff-assisted colonoscopy, Standard colonoscopies

Core tip: One of the main goals of colonoscopy screening is to identify polypoid lesions, which are precursors of colorectal cancer. Once identified, the polypoid lesions need to be removed whenever possible. Throughout the years, many prototypes of colonoscopes, magnification techniques, and different devices such as caps have been developed for colonoscopy screening. Endocuff is a new device used to improve adenoma detection rates during colonoscopy. Based on the findings of many studies, Endocuff seems to be of great help in increasing the detection of colonic polyps, with no significant complications associated with its use.