EndoCuff 辅助结肠镜检查对息肉检出率的影响：一项交叉随机背靠背研究。
The impact of EndoCuff-assisted colonoscopy on the polyp detection rate: A cross-over randomized back-to-back study.
机构信息
Gastrointestinal Endoscopy and Liver Unit, Faculty of Medicine Cairo University, Cairo, Egypt.
Gastrointestinal Endoscopy and Liver Unit, Faculty of Medicine Cairo University, Cairo, Egypt; Gastroenterology Division, Endemic Medicine Department, Cairo University, Cairo, Egypt.
出版信息
Arab J Gastroenterol. 2024 May;25(2):102-108. doi: 10.1016/j.ajg.2023.11.007. Epub 2024 Feb 27.
BACKGROUND AND STUDY AIMS
Colorectal cancer (CRC) is one of the most common cancers worldwide, and most CRCs develop from polyps with malignant potential. We aimed to study the difference in polyp detection rate between EndoCuff-assisted colonoscopies (EAC) and standard colonoscopy (SC).
PATIENTS AND METHODS
This study was conducted at Cairo University Hospitals on patients referred for screening or diagnostic colonoscopy from July 2018 to August 2020. All included patients underwent back-to-back standard colonoscopy (SC) and ENDOCUFF VISION-assisted colonoscopies (EAC).
RESULTS
214 patients were included in this study. In comparison between EAC and SC, EAC increased the polyp detection rate (69 (32.24 %) vs. 57(26.64 %) (p < 0.05), EAC increased the detection of diminutive polyps ≤ 5 mm (104 vs. 81) (p < 0.05), and small polyps 6-9 mm (12 vs. 10) while there was no difference in large polyps ≥ 10 mm. EAC increased the adenoma detection rate (ADR) (37 (17.2 %) vs. 32(14.9 %) (p < 0.05). The findings detected by EAC shortened the interval of surveillance determined by SC findings. EndoCuff caused six mucosal erosions (2.8 %) in patients.
CONCLUSION
EAC increases the number of detected colonic polyps, primarily small polyps on the left and right sides of the colon.
背景和研究目的
结直肠癌（CRC）是全球最常见的癌症之一，大多数 CRC 由具有恶性潜能的息肉发展而来。我们旨在研究 EndoCuff 辅助结肠镜检查（EAC）和标准结肠镜检查（SC）之间息肉检出率的差异。
患者和方法
这项研究在开罗大学医院进行，纳入 2018 年 7 月至 2020 年 8 月期间因筛查或诊断性结肠镜检查而就诊的患者。所有纳入的患者均接受了标准结肠镜检查（SC）和 ENDOCUFF VISION 辅助结肠镜检查（EAC）的背靠背检查。
结果
本研究共纳入 214 例患者。与 SC 相比，EAC 增加了息肉检出率（69（32.24％）比 57（26.64％）（p < 0.05），EAC 增加了直径≤5mm 的微小息肉检出率（104 比 81）（p < 0.05），以及 6-9mm 的小息肉检出率（12 比 10），而直径≥10mm 的大息肉检出率无差异。EAC 增加了腺瘤检出率（ADR）（37（17.2％）比 32（14.9％）（p < 0.05）。EAC 发现的息肉缩短了 SC 发现的监测间隔。EndoCuff 在 6 例患者中引起了黏膜糜烂（2.8％）。
结论
EAC 增加了结肠息肉的检出数量，主要是结肠左侧和右侧的小息肉。
Zotero 插件