Outcomes of Disposable Distal Attachment Device (Endocuff and Transparent Plastic Cap) Assisted Colonoscopy

Inclusion Criteria: 1. Patients undergoing first screening colonoscopy 2. Patients undergoing subsequent surveillance colonoscopies with known history of prior colon polyps detected on prior screening colonoscopies. 3. Ability to provide informed consent. Exclusion Criteria: 1. Previous surgical resection of any part of the colon 2. history of colon cancer 3. history of inflammatory bowel disease 4. use of antiplatelet agents or anti-coagulants that precluded removal of polyps 5. Poor general condition 6. History of polyposis syndrome or hereditary nonpolyposis colorectal cancer 7. Inability to give informed consent.