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Comparison of Endocuff-assisted, Cap-assisted and Standard colonoscopy for assessment of the adenoma detection rate (ADR)
The Endocuff is a medical device, approved in 2012 by the American Food and Drug Administration, which was also authorized by the European Agency for the Evaluation of Medicinal Products. The aim of the cuff is to optimize the view of the colonic mucosa. There is also a transparent cap on the market, which is used in colonoscopy for a better evaluation of the mucosa and polyp detection. The goal of this project is to conduct a prospective randomized trial for clarification of the hypotheses, whether the usage of the Endocuff increases the detection rate of adenomas compared to the transparent cap or compared to standard colonoscopy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arc Endocuff (AEC 110, 120, 130, 140) | Active Comparator | Endocuff-assisted colonoscopy Colonoscopy with the Endocuff attached at the distal tip of the scope |
|
| Cap | Active Comparator | Cap-assisted colonoscopy Colonoscopy with the transparent Cap attached at the distal tip of the scope |
|
| Standard Colonoscope | Active Comparator | Standard colonoscopy without any additional device |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arc Endocuff (AEC 110, 120, 130, 140) | Device |
| ||
| Cap |
| Measure | Description | Time Frame |
|---|---|---|
| Adenoma detection rate | Proportion of patients having at least one adenoma | 1 year |
| Polyp detection rate | Proportion of patients having at least one adenoma | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Bowel preparation result | one day | |
| Coecum intubation rate | one year | |
| Ileum intubation rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tobias Meister, Prof. Dr.med. | Helios Albert-Schweitzer-Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Muenster | Münster | North Rhine-Westphalia | 48149 | Germany | ||
| University Medical Center Göttingen |
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| ID | Term |
|---|---|
| D003274 | Contraceptive Devices, Female |
| ID | Term |
|---|---|
| D003273 | Contraceptive Devices |
| D004864 | Equipment and Supplies |
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| Device |
Olympus Disposable distal attachment 15mm diameter, 4mm depth |
|
| Standard colonoscope | Device |
|
| one year |
| Coecum intubation time | one day |
| withdrawal time | one day |
| mucosal laceration | one day |
| severe bleeding | one day |
| perforation | one day |
| Göttingen |
| 37075 |
| Germany |
| HELIOS St. Marienberg Klinik Helmstedt | Helmstedt | Germany |
| HELIOS Albert-Schweitzer-Klinik | Northeim | 37154 | Germany |
| HELIOS Medical Center Siegburg | Siegburg | Germany |
| Wroclaw Medical University | Wroclaw | 50-556 | Poland |