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The ADENOMA Study. Accuracy of Detection using Endocuff Vision™ Optimization of Mucosal Abnormalities: study protocol
Roisin Bevan1, Wee Sing Ngu1, Brian P Saunders2
1South Tyneside NHS Foundation Trust, Harton Lane, South Shields, Tyne and Wear, UK.
This study evaluated Endocuff Vision™-assisted colonoscopy versus standard colonoscopy to improve adenoma detection rates. The results will guide clinicians on using this new device in routine colonoscopies.
Area of Science:
- Gastroenterology and Endoscopy
- Colorectal Cancer Screening
- Medical Device Technology
Background:
- Colonoscopy is the standard for diagnosing bowel conditions and screening for colorectal cancer.
- Higher adenoma detection rates (ADR) correlate with reduced interval cancer incidence.
- Technological advancements aim to enhance ADR, with Endocuff Vision™ showing promise in pilot studies.
Purpose of the Study:
- To compare the adenoma detection rate (ADR) of Endocuff Vision™-assisted colonoscopy against standard colonoscopy.
- To assess the efficacy of Endocuff Vision™ across screening, surveillance, and diagnostic colonoscopy patient groups.
- To provide evidence-based guidance for the clinical adoption of Endocuff Vision™.
Main Methods:
- A prospective, multicenter, randomized controlled trial involving 1772 patients aged 18+.
- Patients were randomized to receive either Endocuff Vision™-assisted or standard colonoscopy.
- Exclusion criteria included contraindications to colonoscopy, bowel obstruction, cancer, and inflammatory conditions.
Main Results:
- This section is not detailed in the provided abstract.
- Further analysis of collected colonoscopy and polyp data, including histology, is pending.
- Patient comfort and experience data were also collected post-procedure.
Conclusions:
- This is the first trial to assess Endocuff Vision™'s ADR in diverse colonoscopy indications.
- The study findings will inform clinicians about the potential role of Endocuff Vision™ in routine practice.
- Results are anticipated to impact quality metrics and patient outcomes in colonoscopy.
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