January 07, 2019
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VIDEO: Endocuff Vision speeds up procedures, improves adenoma detection

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The Endocuff Vision device helps give endoscopists peace of mind during colonoscopy procedures, according Douglas K. Rex, MD, of the Indiana University School of Medicine.

“It’s well established that it increases adenoma detection,” Rex told Healio Gastroenterology and Liver Disease in an exclusive video perspective. “The main goal of the procedure is to prevent cancer, and we know the main predictor of whether or not we do that is getting [adenoma detection rate (ADR)] up. I had a very high ADR prior to starting to use the Endocuff Vision, but it’s gone up since then.”

Rex said studies have shown that the device — which attached to the end of a colonoscope and uses plastic fingers to stretch the mucosa and reveal hidden polyps — can improve ADR by approximately 7%. Other studies have shown that the device also increases the number of adenomas per colonoscopy, Rex said.

In addition to adenoma detection, Rex said the fingers on the device also allow endoscopists to reach the cecum faster and withdraw more quickly.

“When you are examining with Endocuff Vision and putting those fingers in between the folds and flattening them, you can get to the point where you’re satisfied that you’ve exposed all the mucosa faster,” he said. “When you have a tool that is helping you reach your fundamental goal of trying to expose everything and maximize the chance that you’ve detected everything, you literally have some peace of mind.”

Disclosures: Rex reports financial ties to Boston Scientific, Medivators, EndoChoice, EndoAid, Braintree Laboratories, Medtronics, Colonary Solutions, PAION, US Endoscopy and Olympus.