Annals of Coloproctology

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Efficacy of Transparent Cap-attached Colonoscopy: Does It Improve the Quality of Colonoscopy?.: Choi, Dong Hyun , Shin, Hyeon Keun , Lee, Young Chan , Lim, Cheong Ho , Jeong, Seung Kyu , Lee, Suk Hwan , Yang, Hyung Kyu; J Korean Soc Coloproctol. 2010;26(2):116-122.; DOI: https://doi.org/10.3393/jksc.2010.26.2.116

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PURPOSE
Recently, the use of a transparent cap attached to the tip of the colonoscope has been revealed to be helpful in both detecting colorectal polyps and shortening the intubation time to the cecum. The aim of this study was to examine the usefulness of transparent cap-attached colonoscopy (CAC) as compared with conventional colonoscopy (CC) in terms of the technical ease and efficiency.
METHODS
Colonoscopies from a total of 228 patients between May and October 2008 were prospectively collected. All colonoscopies were performed by single colorectal surgeon whose experience exceeded 3,000 colonoscopies. Patients were assigned to the CAC group (n=114) or to the CC group (n=114). The cecal intubation rate and time, the polyp detection rate, the adenoma detection rate, the withdrawal time, and the visual analogue scale (VAS) of the patient's pain were compared.
RESULTS
There were no significant differences in the age, sex, body mass index, previous history of abdominal operation, diverticulosis, and the degree of bowel preparation between the two groups. The cecal intubation rate was 100% in both groups. The cecal intubation time was significantly shorter in the CAC group than in the CC group overall (5.3+/-4.0 min vs. 7.6+/-4.3 min, P<0.001), as well as for female (6.1+/-2.8 min vs. 9.1+/-4.7 min, P<0.001) patients. There were no statistically significant differences in the total colonoscopy time (13.1+/-6.3 min vs. 14.5+/-5.2 min, P=0.066), the polyp detection rate (38.6% vs. 33.3%, P=0.408), the adenoma detection rate (28.1% vs. 25.4%, P=0.654), and the VAS scale of pain (2.48 vs. 2.74, P=0.353) between the CAC and the CC groups.
CONCLUSION
The transparent cap is effective in shortening the cecal intubation time, especially in female patients.

Citations

Citations to this article as recorded by

Cap-assisted endoscopy: Do we have enough evidence?
Thomas Frieling
Endoscopy International Open.2018; 06(10): E1224. CrossRef
Improving the utility of colonoscopy: Recent advances in practice
Crispin J Corte, Rupert W Leong
Journal of Gastroenterology and Hepatology.2016; 31(1): 32. CrossRef
The Effect of Indigocarmine on Improvement of the Polyp Detection Rate during Colonoscopic Examination with Hood Cap
Sang Chang Kwon, Sung Won Choi, Seong Ho Choi, Hee Seung Park, Seung Heon Lee, Bong Gun Kim, Eun Hee Seo, Mun Jang, Seung Min Ryu, Dong Hyun Kim, Young Hoon Kim, Jun Ouk Ha, Jae Seung Lee
Intestinal Research.2014; 12(1): 60. CrossRef
Image-enhanced, chromo, and cap-assisted colonoscopy for improving adenoma/neoplasia detection rate: a systematic review and meta-analysis
Fumio Omata, Sachiko Ohde, Gautam A. Deshpande, Daiki Kobayashi, Katsunori Masuda, Tsuguya Fukui
Scandinavian Journal of Gastroenterology.2014; 49(2): 222. CrossRef
Transparent cap colonoscopy versus standard colonoscopy: a systematic review and meta-analysis
Jenna L. Morgan, Kathryn Thomas, Sarah Braungart, Richard L. Nelson
Techniques in Coloproctology.2013; 17(4): 353. CrossRef
Can Cap-Assisted Colonoscopy Be a Savior for Right Side Interval Cancer?
Hyung Hun Kim
Digestive Diseases and Sciences.2013; 58(2): 289. CrossRef
Efficacy of Hood-cap Assisted Colonoscopy; Comparison with Conventional Colonoscopy
Sung Won Choi, Hee Seung Park, Jae Seung Lee, Sang Yon Hwang, Sung Dong Kwak, Seong Ho Choi
Intestinal Research.2012; 10(3): 280. CrossRef
Transparent Cap Colonoscopy versus Standard Colonoscopy to Improve Caecal Intubation
Jenna Morgan, Kathryn Thomas, Heather Lee-Robichaud, Richard L Nelson, Sarah Braungart
Cochrane Database of Systematic Reviews.2012;[Epub] CrossRef

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