{"id":3447,"date":"2015-09-14T10:00:59","date_gmt":"2015-09-14T10:00:59","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/multicenter-randomized-tandem-evaluation-of-endorings-colonoscopy-results-of-the-clever-stud\/"},"modified":"2021-09-22T12:56:45","modified_gmt":"2021-09-22T12:56:45","slug":"multicenter-randomized-tandem-evaluation-of-endorings-colonoscopy-results-of-the-clever-stud","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/multicenter-randomized-tandem-evaluation-of-endorings-colonoscopy-results-of-the-clever-stud\/","title":{"rendered":"Multicenter, randomized, tandem evaluation of EndoRings colonoscopy \u2013 results of the CLEVER study"},"content":{"rendered":"<p>Nos \u00faltimos anos temos visto na literatura endosc\u00f3pica uma intensa discuss\u00e3o sobre rastreamento de les\u00f5es precursoras de neoplasia de c\u00f3lon, taxas de detec\u00e7\u00e3o de adenoma e como obter melhores resultados na preven\u00e7\u00e3o do c\u00e2ncer colorretal de intervalo. Quando se especifica o campo de novas tecnologias na melhoria das taxas de detec\u00e7\u00e3o de adenomas, h\u00e1 de se chamar aten\u00e7\u00e3o para os dispositivos que tentam obter uma maior exposi\u00e7\u00e3o da mucosa por variados mecanismos entre eles cita-se: <em>Full Spectrum Endoscopy<\/em> (FUSE; EndoChoice, Alpharetta, GA), <em>Third-Eye Retroscope<\/em> (Avantis Medical Systems, Inc, Sunnyvale, CA), <em>Endocuff<\/em> (Arc Medical Design Ltd, Leeds, UK), N<em>aviAid G-EYE System<\/em> (SMART Medical Systems, Ra\u2019anana, Israel) e <em>EndoRings<\/em> (EndoAid Ltd, Caesarea, Israel).<\/p>\n<p>No m\u00eas de julho de 2015, o exemplar da revista Endoscopy apresentou interessantes resultados do estudo CLEVER, que avaliou o uso de <em>EndoRings<\/em> de forma multic\u00eantrica e randomizada. O objetivo do estudo foi investigar o valor diagn\u00f3stico da colonoscopia com <em>EndoRings<\/em> em compara\u00e7\u00e3o a colonoscopia padr\u00e3o, comparando a taxa de perda de p\u00f3lipo e adenoma em ambas as t\u00e9cnicas. Foram comparadas tamb\u00e9m as taxas de detec\u00e7\u00e3o de p\u00f3lipos, o impacto no intervalo de rastreamentos, o tempo de intuba\u00e7\u00e3o cecal, tempo de retirada do aparelho, o tempo total de procedimento e os eventos adversos. Foram inclu\u00eddos pacientes entre 40 e 75 anos que haviam sido encaminhados para a realiza\u00e7\u00e3o de colonoscopias de rastreamento ou diagn\u00f3sticas entre Julho de 2013 e Junho de 2014 em um centro americano, um holand\u00eas e um israelense. Seis gastroenterologistas experientes realizaram as colonoscopias nesse estudo.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/endoring.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone size-medium wp-image-2970\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/endoring.png\" alt=\"endoring\" width=\"300\" height=\"149\" \/><\/a><\/p>\n<p>(Clique na imagem para ampliar) Dispositivo <em>EndoRings<\/em>.<\/p>\n<p>&nbsp;<\/p>\n<p>Conforme o desenho do estudo, os pacientes inclu\u00eddos eram submetidos a colonoscopia convencional e com uso de <em>EndoRings<\/em> no mesmo procedimento, sendo randomizados em dois grupos cuja diferen\u00e7a era a ordem de inicio (m\u00e9todo convencional seguido de <em>EndoRings<\/em>, <em>EndoRings<\/em> seguido de m\u00e9todo convencional). O endpoint prim\u00e1rio do estudo foi a determina\u00e7\u00e3o da taxa de perda de adenoma, que \u00e9 definida como o n\u00famero de adenomas detectados durante a segunda colonoscopia dividos pelo n\u00famero total de adenomas vistos na primeira e segunda colonoscopia somadas.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>V\u00eddeo\u00a0<\/strong><\/p>\n<p>V\u00eddeos demonstrando o funcionamento do dispositivo.<\/p>\n<p>Clique no link &#8211;\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=_FMy-8jo0g4\">EndoRings<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Resultados<\/strong><\/p>\n<p>De um total de 126 pacientes inicialmente admitidos no estudo, 10 foram exclu\u00eddos por viola\u00e7\u00e3o de protocolo, resultando em 116 pacientes avaliados (38,8% mulheres, m\u00e9dia de idade 58,7 anos). A taxa de perda de adenoma com Endorings (7\/67;10,4%) foi significativamente menor (p&lt;0,001) em compara\u00e7\u00e3o a t\u00e9cnica padr\u00e3o (28\/58; 48,3%). Resultados similares foram evidenciados para a taxa de perda de p\u00f3lipos: <em>EndoRings<\/em> (9,1%) e colonoscopia convencional (52,8%; P&lt;0,001). N\u00e3o houve diferen\u00e7a estatisticamente significativa entre o <em>EndoRings<\/em> e a colonoscopia convencional quanto ao tempo de intuba\u00e7\u00e3o cecal (9.3 vs. 8.4 minutos; P\u200a=\u200a0.142) e tempo de retirada do aparelho (7.4 vs. 7.2 minutos; P\u200a=\u200a0.286). O tempo de procedimento m\u00e9dio foi maior com <em>EndoRings<\/em> em rela\u00e7\u00e3o a colonoscopia padr\u00e3o (21.6 vs. 18.5 minutos, P\u200a=\u200a0.001) associado ao maior n\u00famero de p\u00f3lipos removidos. O tempo por polipectomia foi similar entre o <em>EndoRings<\/em> e a colonoscopia convencional(3.0\u200a\u00b1\u200a2.5 minutos vs. 2.8\u200a\u00b1\u200a2.1 minutos; P\u200a=\u200a0.697).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Conclus\u00e3o<\/strong><\/p>\n<p>O estudo concluiu portanto, que o uso do <em>EndoRings<\/em> permitiu a obten\u00e7\u00e3o de menores taxas de perda de adenoma e p\u00f3lipos em rela\u00e7\u00e3o a colonoscopia padr\u00e3o, o que pode melhorar a efic\u00e1cia particularmente de colonoscopias de rastreamento.<\/p>\n<p>V\u00e1rios outros dispositivos v\u00eam sendo estudados com o objetivo de melhorar a taxa de detec\u00e7\u00e3o de adenomas durante as colonoscopias de rastreamento. Abaixo seguem alguns links de v\u00eddeos das principais t\u00e9cnicas em discuss\u00e3o atualmente com objetivo de melhorar o \u00e2ngulo de vis\u00e3o e a exposi\u00e7\u00e3o mucosa para aumentar as taxas de detec\u00e7\u00e3o:<\/p>\n<p>V\u00eddeo <a href=\"https:\/\/www.youtube.com\/watch?v=O2_i7qSaDEk\">FUSE<\/a><\/p>\n<p>V\u00eddeo <a href=\"https:\/\/www.youtube.com\/watch?v=gbc5rcN_DuQ\">Third-Eye Retroscope<\/a><\/p>\n<p>V\u00eddeo <a href=\"https:\/\/www.youtube.com\/watch?v=Bn02GkNBxNQ\">Endocuff<\/a><\/p>\n<p>V\u00eddeo <a href=\"https:\/\/www.youtube.com\/watch?v=cbRs8iY4E0c\">NaviAid G-EYE System <\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Link do artigo original<\/strong><\/p>\n<p><a href=\"https:\/\/www.thieme-connect.de\/products\/ejournals\/abstract\/10.1055\/s-0034-1392421\" target=\"_blank\" rel=\"noopener\">Vincent K. Dik, Ian M. Gralnek, Ori Segol, Alain Suissa, Tim D. G. Belderbos, Leon M. G. Moons, Meytal Segev, Sveta Domanov, Douglas K. Rex, Peter D. Siersema.\u00a0Multicenter, randomized, tandem evaluation of EndoRings colonoscopy \u2013 results of the CLEVER study.Endoscopy \u00a0DOI: 10.1055\/s-0034-1392421<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Leitura recomendada:<\/strong><\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25839682\" target=\"_blank\" rel=\"noopener\">Moons LM, Gralnek IM, Siersema PD.Techniques and technologies to maximize mucosal exposure. Gastrointest Endosc Clin N Am. 2015 Apr;25(2):199-210.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Assuntos relacionados:<\/strong><\/p>\n<hr \/>\n<p><a title=\"Quiz! \u2013 Qual sua hip\u00f3tese e conduta para este caso?\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz-qual-sua-hipotese-e-conduta-para-este-caso\/\">Quiz &#8211; Qual o tratamento indicado para este p\u00f3lipo?<\/a><\/p>\n<hr \/>\n<p><a title=\"Quiz! \u2013 Neoplasia precoce de reto. Qual a conduta?\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz-neoplasia-precoce-de-reto-qual-a-conduta\/\">Quiz &#8211; Neoplasia precoce de reto. Qual a conduta?<\/a><\/p>\n<hr \/>\n<p><a title=\"Polipectomia com endoloop\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/polipectomia-com-endoloop\/\">V\u00eddeo &#8211; Polipectomia com endoloop.<\/a><\/p>\n<hr \/>\n<p><a title=\"Underwater EMR \u2013 mucosectomia de les\u00f5es col\u00f4nicas sem inje\u00e7\u00e3o submucosa\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/underwater-emr-mucosectomia-de-lesoes-colonicas-sem-injecao-submucosa\/\" target=\"_blank\" rel=\"noopener\">Underwater EMR &#8211; Mucosectomia sem inje\u00e7\u00e3o submucosa.<\/a><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nos \u00faltimos anos temos visto na literatura endosc\u00f3pica uma intensa discuss\u00e3o sobre rastreamento de&hellip;<\/p>\n","protected":false},"author":726,"featured_media":3380,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[142],"tags":[],"ano":[282],"tipo":[156],"volume":[147],"class_list":["post-3447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigoscomentados","ano-282","tipo-colonoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Multicenter, randomized, tandem evaluation of EndoRings colonoscopy \u2013 results of the CLEVER study &#8226; 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