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A randomised controlled trial of EndoRings assisted colonoscopy versus standard colonoscopy

A randomised controlled trial of EndoRings assisted colonoscopy versus standard colonoscopy
A randomised controlled trial of EndoRings assisted colonoscopy versus standard colonoscopy
Endorings is a distal attachment consisting of two layers of circular flexible rings that evert mucosal folds.

Aims: Investigate if Endorings Colonoscopy (ER) improves polyp and adenoma detection compared to standard colonoscopy (SC).

Methods: Multi-centre, parallel group, randomised controlled trial.

Results: Total of 556 patients randomised to ER (275) or SC (281). Colonoscopy completed 532/556 (96%) cases. EndoRings removed in 74/275 (27%) patients. Total number of polyps in ER limb 582 vs 515 in SC limb, p=0.04. Total number of adenomas in ER limb 361 vs 343 for SC limb, p=0.49. A statistically significant difference in the mean number of polyps per patient in both the Intention to Treat (ITT) (1.84 SC vs 2.10 ER, p-value 0.027) and Per Protocol (PP) (1.84 SC vs 2.25 ER, p-value 0.004).

Conclusions: Our study shows promise for the EndoRings device to improve polyp detection.
354-360
Thayalasekaran, Sreedhari
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Bhattacharyya, Rupam
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Chedgy, Fergus
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Basford, Peter
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Subramaniam, Sharmila
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Kandiah, Kesavan
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Thursby-Pelham, Fergus
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Brown, James
dec266a5-ae8d-4351-963f-553c8d1b7b0c
Alkandari, Asma
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Ellis, Richard
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Coda, Sergio
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Goggin, Patrick
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Amos, Mark
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Fogg, Carole
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Longcroft-Wheaton, Gaius
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Bhandari, Pradeep
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Thayalasekaran, Sreedhari
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Bhattacharyya, Rupam
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Chedgy, Fergus
143cea93-6dbc-474c-ba84-d70b7396993a
Basford, Peter
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Subramaniam, Sharmila
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Kandiah, Kesavan
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Thursby-Pelham, Fergus
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Brown, James
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Alkandari, Asma
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Ellis, Richard
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Coda, Sergio
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Goggin, Patrick
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Amos, Mark
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Fogg, Carole
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Longcroft-Wheaton, Gaius
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Bhandari, Pradeep
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Thayalasekaran, Sreedhari, Bhattacharyya, Rupam, Chedgy, Fergus, Basford, Peter, Subramaniam, Sharmila, Kandiah, Kesavan, Thursby-Pelham, Fergus, Brown, James, Alkandari, Asma, Ellis, Richard, Coda, Sergio, Goggin, Patrick, Amos, Mark, Fogg, Carole, Longcroft-Wheaton, Gaius and Bhandari, Pradeep (2022) A randomised controlled trial of EndoRings assisted colonoscopy versus standard colonoscopy. Digestive Endoscopy, 35, 354-360.

Record type: Article

Abstract

Endorings is a distal attachment consisting of two layers of circular flexible rings that evert mucosal folds.

Aims: Investigate if Endorings Colonoscopy (ER) improves polyp and adenoma detection compared to standard colonoscopy (SC).

Methods: Multi-centre, parallel group, randomised controlled trial.

Results: Total of 556 patients randomised to ER (275) or SC (281). Colonoscopy completed 532/556 (96%) cases. EndoRings removed in 74/275 (27%) patients. Total number of polyps in ER limb 582 vs 515 in SC limb, p=0.04. Total number of adenomas in ER limb 361 vs 343 for SC limb, p=0.49. A statistically significant difference in the mean number of polyps per patient in both the Intention to Treat (ITT) (1.84 SC vs 2.10 ER, p-value 0.027) and Per Protocol (PP) (1.84 SC vs 2.25 ER, p-value 0.004).

Conclusions: Our study shows promise for the EndoRings device to improve polyp detection.

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Digestive Endoscopy - 2022 - Thayalasekaran - A Randomised Controlled Trial of EndoRingsTM Assisted Colonoscopy Versus (1) - Accepted Manuscript
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Accepted/In Press date: 6 September 2022
e-pub ahead of print date: 9 September 2022
Published date: 9 September 2022

Identifiers

Local EPrints ID: 469978
URI: http://eprints.soton.ac.uk/id/eprint/469978
PURE UUID: a148a179-0808-4420-85b0-a563d18a11bb
ORCID for Carole Fogg: ORCID iD orcid.org/0000-0002-3000-6185

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Date deposited: 29 Sep 2022 16:45
Last modified: 17 Mar 2024 07:30

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Contributors

Author: Sreedhari Thayalasekaran
Author: Rupam Bhattacharyya
Author: Fergus Chedgy
Author: Peter Basford
Author: Sharmila Subramaniam
Author: Kesavan Kandiah
Author: Fergus Thursby-Pelham
Author: James Brown
Author: Asma Alkandari
Author: Richard Ellis
Author: Sergio Coda
Author: Patrick Goggin
Author: Mark Amos
Author: Carole Fogg ORCID iD
Author: Gaius Longcroft-Wheaton
Author: Pradeep Bhandari

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