Background and Aims
Endocuff improves detection at colonoscopy but seems to impede terminal ileal (TI) intubation.
We assessed the impact of Endocuff Vision (EV) on TI intubation using adult or pediatric
colonoscopes and evaluated whether filling the cecum with gas versus water affected
the impact of EV on TI intubation.
Methods
Using a prospectively recorded quality control database, we explored the impact of
EV on TI intubation in ≤1 minute. We used adult and pediatric colonoscopes and tested
the effect of filling the cecum with gas versus water. If the initial attempt failed,
then the alternative (water vs gas) was tried as a rescue method.
Results
TI intubation in ≤1 minute occurred in 91% of colonoscopies without EV versus 65%
with EV, but the use of the pediatric colonoscope with EV had a higher success rate
for TI intubation in ≤1 minute compared with the adult colonoscope with EV (73% vs
57%, P = .043). TI intubation in ≤1 minute was more successful with EV when the cecum was
filled with water rather than gas (74% vs 56%, P = .019), but the benefit of water filling was limited to the adult colonoscope with
EV. When EV was in place, water filling was more successful as a rescue method of
TI intubation (58% vs 21%, P = .011).
Conclusions
EV adversely affects TI intubation, particularly for adult colonoscopes. Water filling
of the cecum mitigates the impact of EV on TI intubation with adult colonoscopes.
Abbreviations:
EV (Endocuff Vision), TI (terminal ileum)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 19, 2019
Accepted:
November 3,
2019
Received:
September 5,
2019
Footnotes
Disclosure: Dr Rex has consulted for Olympus Corporation, Boston Scientific, Medtronic, Aries Pharmaceutical, Lumendi Corporation, and Braintree Laboratories, received research support from EndoAid, Olympus Corporation, and Medivators, and has ownership in Satisfai Health. All other authors disclosed no financial relationships.
Identification
Copyright
© 2020 by the American Society for Gastrointestinal Endoscopy
