Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. The cumulative risk of developing CRC is about 6% lifelong. The benefit of screening colonoscopy depends on the detection and removal of all adenomas, however, some of these may be difficult to detect. The "endocuff" (EC) is a polymer sleeve which joins the tip of the colonoscope to improve the image viewing of the mucosa during colonoscopy procedure. There is insufficient evidence of the usefulness of endocuf
All patients requiring colonoscopy for screening and who agree to participate in the study will be included and randomized them to make an standard colonoscopy or colonoscopy with endocuff, for randomization system will be used in balanced blocks of 4, created on the page randomization.com.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
300
One endocuff device is placed at the tip of colonoscope prior to colonoscopy baseline
Rafael Barreto
México, Tlalpan, Mexico
RECRUITINGAdenoma detection rate
Percentage of adenomas detected during colonoscopy
Time frame: 30 minutes
Measurement of the polyp detection rate
Percentage of polyps detected during colonoscopy
Time frame: 30 minutes
Cecal intubation rate
Percentage of cecal intubation
Time frame: 30 minutes
ileal intubation rate
Percentage of ileal intubation
Time frame: 10 minutes
Difficulty performing polypectomy
When the endoscopist requiring special maneuvers to perform polypectomy
Time frame: 10 minutes
Complications during colonoscopy
When patients require special handling during or immediately subsequent colonoscopy
Time frame: One week
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