Volume 23 Issue 3
Mar.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(3): 417-420
LI Qiongxia, LI Xiumei, YE Yingjian, LI Min, LI Jiazi. Application of 'EndoAngel'-assisted colonoscopy in the detection rate of colorectal polyps[J]. Chinese Journal of General Practice, 2025, 23(3): 417-420. doi: 10.16766/j.cnki.issn.1674-4152.003917
Citation: LI Qiongxia, LI Xiumei, YE Yingjian, LI Min, LI Jiazi. Application of "EndoAngel"-assisted colonoscopy in the detection rate of colorectal polyps[J]. Chinese Journal of General Practice, 2025, 23(3): 417-420. doi: 10.16766/j.cnki.issn.1674-4152.003917
shu

Application of "EndoAngel"-assisted colonoscopy in the detection rate of colorectal polyps

doi: 10.16766/j.cnki.issn.1674-4152.003917

  • Department of Gastroenterology, Xiangyang No.1 People ' s Hospital Affiliated to Hubei University of Medicine, Xiangyang, Hubei 441000, China

Funds:

 2023BCB153

 XYY2023NB08

  • Received Date: 2024-07-02
    Available Online: 2025-05-14
    Abstract
  •   Objective  To explore the application value of "EndoAngel" assisted colonoscopy in the examination of colon polyps, and to provide some reference for medical workers in the diagnosis and screening of colon polyps.  Methods  A total of 1 080 patients undergoing colonoscopy at the Endoscopy Center of Xiangyang No.1 People ' s Hospital from August 2023 to March 2024 were randomly assigned into the control group (n=540) and the experimental group (n=540) using a random number table. The control group underwent conventional colonoscopy with observations jointly performed by endoscopy nurses and endoscopists, while the experimental group utilized real-time monitoring with "EndoAngelⓇ" assisted colonoscopy. The primary outcome measure was the polyp detection rate (PDR), while secondary outcomes included polyp size, single or multiple polyps, bowel preparation quality, as well as the sensitivity and specificity for detecting colorectal adenomas.  Results  The PDR of the experimental group [24.07% (130/540) vs. 15.56% (84/540)] was higher than that of the control group (χ2=12.331, P<0.001). There was no statistically significant difference in the quality of intestinal preparation between the two groups (P>0.05). The difference in polyp size detection between the two groups was statistically significant (P<0.05). Compared with the control group, the experimental group had an advantage in detecting small and micro polyps; The difference in the number of polyps detected between the two groups was statistically significant (P<0.05). Among 180 patients who underwent pathological examination, the experimental group had higher specificity and sensitivity than the control group (P<0.05).  Conclusion  Real-time monitoring by "EndoAngelⓇ" assisted colonoscopy has significant advantages in improving the detection rate of colonic polyps, especially small polyps, and multiple polyps, which can prevent and treat colorectal cancer earlier.

     

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