Usefulness of Endocuff in the Adenoma Detection Rate. Comparative Study

Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. The cumulative risk of developing CRC is about 6% lifelong. The benefit of screening colonoscopy depends on the detection and removal of all adenomas, however, some of these may be difficult to detect. The "endocuff" (EC) is a polymer sleeve which joins the tip of the colonoscope to improve the image viewing of the mucosa during colonoscopy procedure. There is insufficient evidence of the usefulness of endocuf

All patients requiring colonoscopy for screening and who agree to participate in the study will be included and randomized them to make an standard colonoscopy or colonoscopy with endocuff, for randomization system will be used in balanced blocks of 4, created on the page randomization.com.

Inclusion Criteria: Healthy adult patients, Aged 18, Who would come to colonoscopy for colon cancer screening without prior colonoscopy studies Exclusion Criteria: Boston colonic preparation <5 points Suspected Lynch syndrome or familial adenomatous polyposis (FAP)