Cap-Assisted Chromo-Colonoscopy: Are 2 Techniques Better Than None?

The American Journal of Gastroenterology
Joseph C Anderson

Abstract

Cap-assisted and chromo-colonoscopy are 2 techniques which may increase adenoma detection; however, chromo-colonoscopy is limited by increased time requirement. In this edition of The American Journal of Gastroenterology, Kim et al. present data from a randomized controlled trial comparing standard colonoscopy with an arm using both techniques (CAP/CHROMO). The indigo carmine was applied using a simpler method than previous studies, resulting in shorter times. The CAP/CHROMO adenoma detection was higher than the controls (54.4% vs 44.9%; P < 0.001), but there was no difference for advanced neoplasia. If endoscopists find these data convincing, they should trial these techniques separately because each technique may have a different impact.

References

Jul 4, 2002·The American Journal of Gastroenterology·Douglas K RexUNKNOWN U.S. Multi-Society Task Force on Colorectal Cancer
Feb 25, 2010·The American Journal of Gastroenterology·Charles J KahiDouglas K Rex
Mar 18, 2010·The American Journal of Gastroenterology·Joseph C AndersonDaniel W Rosenberg
Dec 22, 2011·Cancer Causes & Control : CCC·Joseph C AndersonDaniel W Rosenberg
Aug 13, 2013·Gastroenterology Clinics of North America·Deepika DevuniJoseph C Anderson
Apr 4, 2014·The New England Journal of Medicine·Douglas A CorleyCharles P Quesenberry
Jun 12, 2016·Surgical Endoscopy·Nezar Y JrebiMartin Luchtefeld
Feb 6, 2017·Gastrointestinal Endoscopy·Joseph C AndersonChristina M Robinson
Oct 12, 2018·Endoscopy International Open·Venkat NutalapatiAmit Rastogi

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