TY - JOUR
T1 - A novel extra-wide-angle-view colonoscope
T2 - A simulated pilot study using anatomic colorectal models
AU - Uraoka, Toshio
AU - Tanaka, Shinji
AU - Matsumoto, Takayuki
AU - Matsuda, Takahisa
AU - Oka, Shiro
AU - Moriyama, Tomohiko
AU - Higashi, Reiji
AU - Saito, Yutaka
PY - 2013/3
Y1 - 2013/3
N2 - Background: A major factor that may contribute to a higher adenoma miss rate during colonoscopy is undetected lesions located behind haustral folds, flexures, or rectal valves. Objective: To assess the efficacy of a prototype, novel, extra-wide-angle-view colonoscope that provides a simultaneous lateral-backward view that complements the forward view lens. Design: A simulated pilot study of two anatomic colorectal models, each prepared with 8 polyps positioned in obvious locations and 8 polyps placed behind folds. Thirty-two endoscopists with different levels of experience performed examinations on models in a random order by using the extra-wide-angle-view colonoscope and a standard colonoscope. Main Outcome Measurements: The detection rates of simulated polyps. Results: The mean detection rate for all simulated polyps with the extra-wide-angle-view colonoscope was significantly higher than that with the standard colonoscope (68% vs 51%; P <.0001). The detection rate for polyps behind folds was significantly higher in the extra-wide-angle-view colonoscope than in the standard colonoscope (61.7% vs 46.9%; P =.0009). Limitations: Not a clinical study. Conclusion: The novel, extra-wide-angle-view colonoscope may represent an advancement in colorectal polyp detection. The value of the colonoscope for clinical use awaits further study.
AB - Background: A major factor that may contribute to a higher adenoma miss rate during colonoscopy is undetected lesions located behind haustral folds, flexures, or rectal valves. Objective: To assess the efficacy of a prototype, novel, extra-wide-angle-view colonoscope that provides a simultaneous lateral-backward view that complements the forward view lens. Design: A simulated pilot study of two anatomic colorectal models, each prepared with 8 polyps positioned in obvious locations and 8 polyps placed behind folds. Thirty-two endoscopists with different levels of experience performed examinations on models in a random order by using the extra-wide-angle-view colonoscope and a standard colonoscope. Main Outcome Measurements: The detection rates of simulated polyps. Results: The mean detection rate for all simulated polyps with the extra-wide-angle-view colonoscope was significantly higher than that with the standard colonoscope (68% vs 51%; P <.0001). The detection rate for polyps behind folds was significantly higher in the extra-wide-angle-view colonoscope than in the standard colonoscope (61.7% vs 46.9%; P =.0009). Limitations: Not a clinical study. Conclusion: The novel, extra-wide-angle-view colonoscope may represent an advancement in colorectal polyp detection. The value of the colonoscope for clinical use awaits further study.
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U2 - 10.1016/j.gie.2012.08.037
DO - 10.1016/j.gie.2012.08.037
M3 - Article
C2 - 23199903
AN - SCOPUS:84873731726
SN - 0016-5107
VL - 77
SP - 480
EP - 483
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 3
ER -