The Efficacy of Endocuff Vision in Endoscopic Mucosal Resection to the Full Extent of the Colon - a Feasibility Case Series

Aims There are limited data indicating that ENDOCUFF VISIONTM is safe and useful to facilitate complex polypectomy in the sigmoid colon by retracting the colonic folds [1]. However, data concerning its safety and efficacy in cases of large sessile/flat polyps to the full extent of the colon and particularly in the right colon, are lacking.

Methods Ten patients (eleven polyps) were prospectively included in our study. At first, a conventional colonoscopy was performed. In cases where the achievement of stable access and visualization of the polyp was not adequate the colonoscope was withdrawn and an ENDOCUFF VISIONTM was mounted on the tip of the colonoscope. Thereafter the mounted colonoscope was re-inserted in the area of interested in the colon. The polypectomy was considered successful when the entire submucosal base and margins were clearly visible with no remaining polyp.

Results Ten patients (mean age 63.7 ± 12.03 years, 6 male/4 female) with 11 sessile/flat polyps were included into the study. Diverticulosis was seen in eight out of ten patients. Four of the polyps were located in the sigmoid colon, one in the rectum, three in the ascending colon, two in the hepatic flexure and one on the ileocecal valve (mean size 27±1.33mm). Nine of the eleven polypectomies were considered successful ([Table 1]). In two of them in the right colon the procedure was considered unsuccessful (remaining neoplastic tissue) and the patients underwent full thickness resection (FTRD). No difficulties were reported in the advancing of the mounted colonoscope with the ENDOCUFF VISIONTM to the area of interest in the colon No complications were recorded

TABLE 1 POLYP CHARACTERISTICS

Polyp Location	Number of polyps	Polyp Size,Mm (mean ± SD)	Polyp Morphology(Paris Classification) (number of polyps)
Left colon	5	36±15.6	0-Ιs (1) 0-ΙΙα+ Is (4)
Right colon	6	20±4.47	0-Isp(1)0-IIa(3) 0-ΙΙα+ Is(2)

Conclusions Our data indicate that the ENDOCUFF VISIONTM safely facilitates EMR to the full extent of the colon, in selected cases where stable access is not achieved.

Citation: Nicolaou P, Fragaki M, Velegraki M et al. eP219 THE EFFICACY OF ENDOCUFF VISION IN ENDOSCOPIC MUCOSAL RESECTION TO THE FULL EXTENT OF THE COLON - A FEASIBILITY CASE SERIES. Endoscopy 2021; 53: S170.

Publication History

Article published online:
19 March 2021