Skip to main content
Top
Published in: Digestive Diseases and Sciences 10/2012

01-10-2012 | Original Article

Hood Colonoscopy in Trainees: A Useful Adjunct to Improve the Performance

Authors: Raffaele Manta, Benedetto Mangiavillano, Paolo Fedeli, Paolo Viaggi, Danilo Castellani, Rita Conigliaro, Enzo Masci, Gabrio Bassotti

Published in: Digestive Diseases and Sciences | Issue 10/2012

Login to get access

Abstract

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.
Literature
1.
go back to reference Grassini M, Verna C, Niola P, Navino M, Battaglia E, Bassotti G. Appropriateness of colonoscopy: diagnostic yield and safety in guidelines. World J Gastroenterol. 2007;13:1816–1819.PubMed Grassini M, Verna C, Niola P, Navino M, Battaglia E, Bassotti G. Appropriateness of colonoscopy: diagnostic yield and safety in guidelines. World J Gastroenterol. 2007;13:1816–1819.PubMed
2.
go back to reference Grassini M, Verna C, Battaglia E, Niola P, Navino M, Bassotti G. Education improves colonoscopy appropriateness. Gastrointest Endosc. 2008;67:88–93.PubMedCrossRef Grassini M, Verna C, Battaglia E, Niola P, Navino M, Bassotti G. Education improves colonoscopy appropriateness. Gastrointest Endosc. 2008;67:88–93.PubMedCrossRef
3.
go back to reference Repici A, Pellicano R, Strangio G, Danese S, Fagoonee S, Malesci A. Endoscopic mucosal resection for early colorectal neoplasia: pathologic basis, procedures, and outcomes. Dis Colon Rectum. 2009;52:1502–1515.PubMedCrossRef Repici A, Pellicano R, Strangio G, Danese S, Fagoonee S, Malesci A. Endoscopic mucosal resection for early colorectal neoplasia: pathologic basis, procedures, and outcomes. Dis Colon Rectum. 2009;52:1502–1515.PubMedCrossRef
4.
go back to reference Deprez PH, Bergman JJ, Meisner S, et al. Current practice with endoscopic submucosal dissection in Europe: position statement from a panel of experts. Endoscopy. 2010;42:853–858.PubMedCrossRef Deprez PH, Bergman JJ, Meisner S, et al. Current practice with endoscopic submucosal dissection in Europe: position statement from a panel of experts. Endoscopy. 2010;42:853–858.PubMedCrossRef
5.
go back to reference Hixson LJ, Fennerty MB, Sampliner RE, McGee D, Garewal H. Prospective study of the frequency and size distribution of polyps missed by colonoscopy. J Natl Cancer Inst. 1990;82:1769–1772.PubMedCrossRef Hixson LJ, Fennerty MB, Sampliner RE, McGee D, Garewal H. Prospective study of the frequency and size distribution of polyps missed by colonoscopy. J Natl Cancer Inst. 1990;82:1769–1772.PubMedCrossRef
6.
go back to reference Rex DK, Cutler CS, Lemmel GT, et al. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology. 1997;112:24–28.PubMedCrossRef Rex DK, Cutler CS, Lemmel GT, et al. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology. 1997;112:24–28.PubMedCrossRef
7.
go back to reference Wells CD, Heigh RI, Sharma VK, et al. Comparison of morning versus afternoon cecal intubation rates. BMC Gastroenterol. 2007;7:19.PubMedCrossRef Wells CD, Heigh RI, Sharma VK, et al. Comparison of morning versus afternoon cecal intubation rates. BMC Gastroenterol. 2007;7:19.PubMedCrossRef
8.
go back to reference Loffeld RJ, van der Putten AB. The completion rate of colonoscopy in normal daily practice: factors associated with failure. Digestion. 2009;80:267–270.PubMedCrossRef Loffeld RJ, van der Putten AB. The completion rate of colonoscopy in normal daily practice: factors associated with failure. Digestion. 2009;80:267–270.PubMedCrossRef
9.
go back to reference Neerincx M, Terhaar Sive Droste JS, Mulder CJ, et al. Colonic work-up after incomplete colonoscopy: significant new findings during follow-up. Endoscopy. 2010;42:730–735.PubMedCrossRef Neerincx M, Terhaar Sive Droste JS, Mulder CJ, et al. Colonic work-up after incomplete colonoscopy: significant new findings during follow-up. Endoscopy. 2010;42:730–735.PubMedCrossRef
10.
go back to reference Nass JP, Connolly SE. Current status of chromoendoscopy and narrow band imaging in colonoscopy. Clin Colon Rectal Surg. 2010;23:21–30.PubMedCrossRef Nass JP, Connolly SE. Current status of chromoendoscopy and narrow band imaging in colonoscopy. Clin Colon Rectal Surg. 2010;23:21–30.PubMedCrossRef
11.
go back to reference dos Santos CE, Lima JC, Lopes CV, et al. Computerized virtual chromoendoscopy versus indigo carmine chromoendoscopy combined with magnification for diagnosis of small colorectal lesions: a randomized and prospective study. Eur J Gastroenterol Hepatol. 2010;22:1364–1371.PubMedCrossRef dos Santos CE, Lima JC, Lopes CV, et al. Computerized virtual chromoendoscopy versus indigo carmine chromoendoscopy combined with magnification for diagnosis of small colorectal lesions: a randomized and prospective study. Eur J Gastroenterol Hepatol. 2010;22:1364–1371.PubMedCrossRef
12.
go back to reference Hoffman A, Sar F, Goetz M, et al. High definition colonoscopy combined with i-Scan is superior in the detection of colorectal neoplasias compared with standard video colonoscopy: a prospective randomized controlled trial. Endoscopy. 2010;42:827–833.PubMedCrossRef Hoffman A, Sar F, Goetz M, et al. High definition colonoscopy combined with i-Scan is superior in the detection of colorectal neoplasias compared with standard video colonoscopy: a prospective randomized controlled trial. Endoscopy. 2010;42:827–833.PubMedCrossRef
13.
go back to reference Kondo S, Yamaji Y, Watabe H, et al. A randomized controlled trial evaluating the usefulness of a transparent hood attached to the tip of the colonoscope. Am J Gastroenterol. 2007;102:75–81.PubMedCrossRef Kondo S, Yamaji Y, Watabe H, et al. A randomized controlled trial evaluating the usefulness of a transparent hood attached to the tip of the colonoscope. Am J Gastroenterol. 2007;102:75–81.PubMedCrossRef
14.
go back to reference Horiuchi A, Nakayama Y. Improved colorectal adenoma detection with a transparent retractable extension device. Am J Gastroenterol. 2008;103:341–345.PubMedCrossRef Horiuchi A, Nakayama Y. Improved colorectal adenoma detection with a transparent retractable extension device. Am J Gastroenterol. 2008;103:341–345.PubMedCrossRef
15.
go back to reference Shida T, Katsuura Y, Teramoto O, et al. Transparent hood attached to the colonoscope: does it really work for all types of colonoscopes? Surg Endosc. 2008;22:2654–2658.PubMedCrossRef Shida T, Katsuura Y, Teramoto O, et al. Transparent hood attached to the colonoscope: does it really work for all types of colonoscopes? Surg Endosc. 2008;22:2654–2658.PubMedCrossRef
16.
go back to reference Harada Y, Hirasawa D, Fujita N, et al. Impact of a transparent hood on the performance of total colonoscopy: a randomized controlled trial. Gastrointest Endosc. 2009;69:637–644.PubMedCrossRef Harada Y, Hirasawa D, Fujita N, et al. Impact of a transparent hood on the performance of total colonoscopy: a randomized controlled trial. Gastrointest Endosc. 2009;69:637–644.PubMedCrossRef
17.
go back to reference Horiuchi A, Nakayama Y, Kato N, Ichise Y, Kajiyama M, Tanaka N. Hood-assisted colonoscopy is more effective in detection of colorectal adenomas than narrow-band imaging. Clin Gastroenterol Hepatol. 2010;8:379–383.PubMedCrossRef Horiuchi A, Nakayama Y, Kato N, Ichise Y, Kajiyama M, Tanaka N. Hood-assisted colonoscopy is more effective in detection of colorectal adenomas than narrow-band imaging. Clin Gastroenterol Hepatol. 2010;8:379–383.PubMedCrossRef
18.
go back to reference Van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol. 2006;101:343–350.PubMedCrossRef Van Rijn JC, Reitsma JB, Stoker J, Bossuyt PM, van Deventer SJ, Dekker E. Polyp miss rate determined by tandem colonoscopy: a systematic review. Am J Gastroenterol. 2006;101:343–350.PubMedCrossRef
19.
go back to reference Nelson DB, McQuaid KR, Bond JH, Lieberman DA, Weiss DG, Johnston TK. Procedural success and complications of large-scale screening colonoscopy. Gastrointest Endosc. 2002;55:307–314.PubMedCrossRef Nelson DB, McQuaid KR, Bond JH, Lieberman DA, Weiss DG, Johnston TK. Procedural success and complications of large-scale screening colonoscopy. Gastrointest Endosc. 2002;55:307–314.PubMedCrossRef
20.
go back to reference Inoue H, Takeshita K, Hori H, Muraoka Y, Yoneshima H, Endo M. Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and colon mucosal lesions. Gastrointest Endosc. 1993;39:58–62.PubMedCrossRef Inoue H, Takeshita K, Hori H, Muraoka Y, Yoneshima H, Endo M. Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and colon mucosal lesions. Gastrointest Endosc. 1993;39:58–62.PubMedCrossRef
21.
go back to reference Tee HP, Corte C, Al-Ghamdi H, et al. Prospective randomized controlled trial evaluating cap-assisted colonoscopy versus standard colonoscopy. World J Gastroenterol. 2010;16:3905–3910.PubMedCrossRef Tee HP, Corte C, Al-Ghamdi H, et al. Prospective randomized controlled trial evaluating cap-assisted colonoscopy versus standard colonoscopy. World J Gastroenterol. 2010;16:3905–3910.PubMedCrossRef
22.
go back to reference Dai J, Feng N, Lu H, Li XB, Yang CH, Ge ZZ. Transparent cap improves patients’ tolerance of colonoscopy and shortens examination time by inexperienced endoscopists. J Dig Dis. 2010;11:364–368.PubMedCrossRef Dai J, Feng N, Lu H, Li XB, Yang CH, Ge ZZ. Transparent cap improves patients’ tolerance of colonoscopy and shortens examination time by inexperienced endoscopists. J Dig Dis. 2010;11:364–368.PubMedCrossRef
23.
go back to reference Lee YT, Hui AJ, Wong VW, Hung LC, Sung JJ. Improved colonoscopy success rate with a distally attached mucosectomy cap. Endoscopy. 2006;38:739–742.PubMedCrossRef Lee YT, Hui AJ, Wong VW, Hung LC, Sung JJ. Improved colonoscopy success rate with a distally attached mucosectomy cap. Endoscopy. 2006;38:739–742.PubMedCrossRef
24.
go back to reference Lee YT, Lai LH, Hui AJ, et al. Efficacy of cap-assisted colonoscopy in comparison with regular colonoscopy: a randomized controlled trial. Am J Gastroenterol. 2009;104:41–46.PubMedCrossRef Lee YT, Lai LH, Hui AJ, et al. Efficacy of cap-assisted colonoscopy in comparison with regular colonoscopy: a randomized controlled trial. Am J Gastroenterol. 2009;104:41–46.PubMedCrossRef
25.
go back to reference Park SY, Kim HS, Yoon KW, et al. Usefulness of cap-assisted colonoscopy during colonoscopic EMR: a randomized, controlled trial. Gastrointest Endosc. 2011;74:869–875.PubMedCrossRef Park SY, Kim HS, Yoon KW, et al. Usefulness of cap-assisted colonoscopy during colonoscopic EMR: a randomized, controlled trial. Gastrointest Endosc. 2011;74:869–875.PubMedCrossRef
26.
go back to reference Hewett DG, Rex DK. Cap-fitted colonoscopy: a randomized, tandem colonoscopy study of adenoma miss rates. Gastrointest Endosc. 2010;72:775–781.PubMedCrossRef Hewett DG, Rex DK. Cap-fitted colonoscopy: a randomized, tandem colonoscopy study of adenoma miss rates. Gastrointest Endosc. 2010;72:775–781.PubMedCrossRef
27.
go back to reference Prachayakul V, Aswakul P, Limsrivilai J, et al. Benefit of “transparent soft-short-hood on the scope” for colonoscopy among experienced gastroenterologists and gastroenterologist trainee: a randomized, controlled trial. Surg Endosc. 2012;26:1041–1046. Prachayakul V, Aswakul P, Limsrivilai J, et al. Benefit of “transparent soft-short-hood on the scope” for colonoscopy among experienced gastroenterologists and gastroenterologist trainee: a randomized, controlled trial. Surg Endosc. 2012;26:1041–1046.
Metadata
Title
Hood Colonoscopy in Trainees: A Useful Adjunct to Improve the Performance
Authors
Raffaele Manta
Benedetto Mangiavillano
Paolo Fedeli
Paolo Viaggi
Danilo Castellani
Rita Conigliaro
Enzo Masci
Gabrio Bassotti
Publication date
01-10-2012
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 10/2012
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-012-2213-5

Other articles of this Issue 10/2012

Digestive Diseases and Sciences 10/2012 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine