BACKGROUND: The use of a transparent hood to improve colonoscopic performance has recently been proposed. AIMS: The purpose of this study was to evaluate whether using the hood might improve the cecal intubation rate, cecal intubation time, number of attempts needed to intubate the ileo-cecal valve, and polyp detection rate in trainees. METHODS:Patients undergoing colonoscopy (n = 378) were randomized in two groups, one studied with hood colonoscopy (n = 179) and the other (n = 199) with standard examination. RESULTS: No differences were found between hood and standard colonoscopy with respect to cecal intubation rate (95 vs 92 %), whereas hood colonoscopy significantly shortened the cecal intubation time, the number of attempts needed to intubate the ileo-cecal valve, and the overall polyp detection rate (p < 0.01 for all these variables). CONCLUSIONS:Hood colonoscopy might represent a useful adjunct to standard colonoscopy, especially improving the performance of endoscopic trainees.
RCT Entities:
BACKGROUND: The use of a transparent hood to improve colonoscopic performance has recently been proposed. AIMS: The purpose of this study was to evaluate whether using the hood might improve the cecal intubation rate, cecal intubation time, number of attempts needed to intubate the ileo-cecal valve, and polyp detection rate in trainees. METHODS:Patients undergoing colonoscopy (n = 378) were randomized in two groups, one studied with hood colonoscopy (n = 179) and the other (n = 199) with standard examination. RESULTS: No differences were found between hood and standard colonoscopy with respect to cecal intubation rate (95 vs 92 %), whereas hood colonoscopy significantly shortened the cecal intubation time, the number of attempts needed to intubate the ileo-cecal valve, and the overall polyp detection rate (p < 0.01 for all these variables). CONCLUSIONS: Hood colonoscopy might represent a useful adjunct to standard colonoscopy, especially improving the performance of endoscopic trainees.
Authors: M Neerincx; J S Terhaar sive Droste; C J Mulder; M Räkers; J F Bartelsman; R J Loffeld; H A Tuynman; R M Brohet; R W van der Hulst Journal: Endoscopy Date: 2010-07-28 Impact factor: 10.093
Authors: Christopher D Wells; Russell I Heigh; Virender K Sharma; Michael D Crowell; Suryakanth R Gurudu; Jonathan A Leighton; Nora Mattek; David E Fleischer Journal: BMC Gastroenterol Date: 2007-06-08 Impact factor: 3.067