Matches in SemOpenAlex for { <https://semopenalex.org/work/W2914995207> ?p ?o ?g. }
Showing items 1 to 59 of
59
with 100 items per page.
- W2914995207 endingPage "S1471" @default.
- W2914995207 startingPage "S1470" @default.
- W2914995207 abstract "Introduction: Adenoma detection rate (ADR) is an important marker for colonoscopy quality. Various techniques, including underwater insertion and use of caps and other assistive devices, such as Endocuff, are associated with increased ADR. However, it is unknown if there is a cumulative effect of these techniques on polyp detection. Thus, the objective of our study was to determine if Endocuff (EC) further improves polyp detection rates in underwater colonoscopy. Methods: Colonoscopy quality data was collected prospectively at our single tertiary referral center beginning in June 2012. EC was first implemented in Aug 2014 and utilized at the discretion of the endoscopist. Data included all colonoscopies performed between Aug 2014 and May 2017. Colonoscopies were categorized as conventional (CC), Endocuff-assisted (EC) with air insufflation (AI) or underwater (UW). Three groups AI/CC, UW/CC, and EC/UW were compared by procedure times, cecal intubation rate, and detection rates of polyps (PDR), adenomas (ADR) and SSAs (SSADR). Significance was determined using ANOVA for continuous variables and chi-square test for categorical variables.Figure: Green bars represent % change in detection rate with UW/CC, relative to AI/CC. Blue bars represent % change in detection rate with UW/EC, relative to UW/CC.Results: Compared to baseline detection rates in the AI/CC group, UW/CC, and UW/EC was associated with significant incremental increases in PDR, ADR and SSADR. In particular, there was a robust response to the addition of Endocuff, as demonstrated by significant improvements in PDR (59.9 vs. 79.1%, p < 0.0001), ADR (37.3% vs. 53.2%, p < 0.0001) and SSADR (8.4% vs. 14.1%, p < 0.0001) between UW/CC and UW/EC groups, respectively. These significant trends persisted on subgroup analysis in left and right colon (see table 2). Insertion time (IT) were similar between the three groups, though withdrawal (WT) and total times (TT) were progressively longer with added techniques and interventions. CIR rates were higher with UW/CC and UW/EC compared to AI/CC. Conclusion: Our results confirm previous reports of improved polyp detection rates with UW compared to AI. Concomitant use of Endocuff (UW/EC) is associated with an additive effect on polyp detection rates. These techniques were associated with marginally increased procedure times, which is likely accounted for by additional polyps requiring polypectomy. Overall, our results support use of UW + EC to maximize polyp detection and thereby reduce rates of interval colorectal cancers.Figure: Green bars represent % change in detection rate with UW/CC, relative to AI/CC. Blue bars represent % change in detection rate with UW/EC, relative to UW/CC.Table: Table. Comparison of Procedure Times between AI/CC vs. UW/CC vs. UW/ECTable: Table. Comparison of Procedure Times between AI/CC vs. UW/CC vs. UW/EC" @default.
- W2914995207 created "2019-02-21" @default.
- W2914995207 creator A5033057082 @default.
- W2914995207 creator A5036160043 @default.
- W2914995207 creator A5038829093 @default.
- W2914995207 creator A5058151859 @default.
- W2914995207 creator A5066577343 @default.
- W2914995207 date "2017-10-01" @default.
- W2914995207 modified "2023-09-24" @default.
- W2914995207 title "No Polyp Left Behind: Endocuff Significantly Improves Polyp Detection in Underwater Colonoscopy" @default.
- W2914995207 doi "https://doi.org/10.14309/00000434-201710001-02705" @default.
- W2914995207 hasPublicationYear "2017" @default.
- W2914995207 type Work @default.
- W2914995207 sameAs 2914995207 @default.
- W2914995207 citedByCount "0" @default.
- W2914995207 crossrefType "journal-article" @default.
- W2914995207 hasAuthorship W2914995207A5033057082 @default.
- W2914995207 hasAuthorship W2914995207A5036160043 @default.
- W2914995207 hasAuthorship W2914995207A5038829093 @default.
- W2914995207 hasAuthorship W2914995207A5058151859 @default.
- W2914995207 hasAuthorship W2914995207A5066577343 @default.
- W2914995207 hasConcept C121608353 @default.
- W2914995207 hasConcept C126322002 @default.
- W2914995207 hasConcept C141071460 @default.
- W2914995207 hasConcept C2777428134 @default.
- W2914995207 hasConcept C2778435480 @default.
- W2914995207 hasConcept C2778494295 @default.
- W2914995207 hasConcept C2778716859 @default.
- W2914995207 hasConcept C526805850 @default.
- W2914995207 hasConcept C71924100 @default.
- W2914995207 hasConceptScore W2914995207C121608353 @default.
- W2914995207 hasConceptScore W2914995207C126322002 @default.
- W2914995207 hasConceptScore W2914995207C141071460 @default.
- W2914995207 hasConceptScore W2914995207C2777428134 @default.
- W2914995207 hasConceptScore W2914995207C2778435480 @default.
- W2914995207 hasConceptScore W2914995207C2778494295 @default.
- W2914995207 hasConceptScore W2914995207C2778716859 @default.
- W2914995207 hasConceptScore W2914995207C526805850 @default.
- W2914995207 hasConceptScore W2914995207C71924100 @default.
- W2914995207 hasLocation W29149952071 @default.
- W2914995207 hasOpenAccess W2914995207 @default.
- W2914995207 hasPrimaryLocation W29149952071 @default.
- W2914995207 hasRelatedWork W2039580236 @default.
- W2914995207 hasRelatedWork W2045687782 @default.
- W2914995207 hasRelatedWork W2056222684 @default.
- W2914995207 hasRelatedWork W2128011110 @default.
- W2914995207 hasRelatedWork W2128379001 @default.
- W2914995207 hasRelatedWork W2153344530 @default.
- W2914995207 hasRelatedWork W2165341508 @default.
- W2914995207 hasRelatedWork W2946290314 @default.
- W2914995207 hasRelatedWork W2978658545 @default.
- W2914995207 hasRelatedWork W4317830495 @default.
- W2914995207 hasVolume "112" @default.
- W2914995207 isParatext "false" @default.
- W2914995207 isRetracted "false" @default.
- W2914995207 magId "2914995207" @default.
- W2914995207 workType "article" @default.