Increased Sessile Serrated Adenoma Detection Rate With Mechanical New Technology Devices A Systematic Review and Meta-Analysis

被引:13
作者
Verheyen, Elijah [1 ]
Castaneda, Daniel [4 ]
Gross, Seth A. [2 ,5 ]
Popov, Violeta [3 ]
机构
[1] Mt Sinai St Lukes West Beth Israel Hosp, Icahn Sch Med, Div Gastroenterol, New York, NY 10019 USA
[2] NYU Langone Hlth, Div Gastroenterol, New York, NY USA
[3] NYU, Sch Med, New York VA Harbor Healthcare, Div Gastroenterol, New York, NY USA
[4] Cleveland Clin Florida, Dept Gastroenterol & Hepatol, Weston, FL USA
[5] Olympus, Tokyo, Japan
关键词
sessile serrated adenoma; colon cancer; colonoscopy; detection; ENDOCUFF-ASSISTED COLONOSCOPY; SOCIETY-TASK-FORCE; COLORECTAL-CANCER; QUALITY INDICATORS; CONSENSUS UPDATE; SURVEILLANCE; POLYPECTOMY; GUIDELINES; TIME; RISK;
D O I
10.1097/MCG.0000000000001363
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Goal: This meta-analysis aims to compare the sessile-serrated adenoma detection rate (SSADR) of currently available mechanical new technology devices (NTDs) to conventional colonoscopy (CC). Background: NTDs including Endocuff, EndoRing, G-Eye, and AmplifEYE were developed with the aim of improving adenoma detection rate by enhancing colonic mucosal visualization. Increasing awareness of the risk of sessile-serrated adenoma progression to malignancy has ushered a need to increase the detection of these characteristically flat lesions. Study: Embase and PubMed/Medline databases were searched from inception through January 2019 for published manuscripts or major conference abstracts reporting SSADR with Endocuff, EndoRing, G-Eye, AmplifEYE, and CC. Randomized controlled trials, high-quality case-control, cohort, and observational studies in adults with >10 subjects were included. The primary outcome was pooled SSADR odds ratio (ORs) with 95% confidence interval (95% CI) comparing CC with the NTDs. In addition, an analysis comparing each device to CC was performed. Results: Of 207 citations identified, a total of 14 studies with 12,655 subjects were included in our analysis (5931 subjects with NTDs and 6724 with CC). There were 12 studies with Endocuff, 2 with EndoRing, 1 with G-EYE, and 1 with AmplifEYE. The mean age was 62.4 years and 57.5% were males. Pooled SSADR with NTDs was 12.3% as compared with 6.4% with CC, with an OR of 1.81 (95% CI: 1.6-2.0, I (2): 77%). Analysis of Endocuff alone yielded an OR 1.81 (95% CI: 1.6-2.1, I (2): 79%). Conclusion: Mechanical NTDs, notably Endocuff, are a safe and effective tool to increase the SSADR.
引用
收藏
页码:335 / 342
页数:8
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