# Usefulness and safety of new ultrasmall-diameter colonoscope for cases with difficult insertion: a retrospective study

## TL;DR

A new thin colonoscope helps with difficult colonoscopies, reducing insertion time and pain compared to standard scopes.

## Contribution

The study demonstrates the effectiveness of an ultrasmall-diameter colonoscope in difficult cases.

## Key findings

- The new colonoscope reduced cecal intubation time by half compared to standard scopes.
- It achieved a 100% cecum intubation rate versus 76.9% with standard scopes.
- Patients reported significantly less pain with the new colonoscope.

## Abstract

Colonoscopies are widely available, but there are cases where insertion can be difficult, even for experienced endoscopists. EC-760XP/L, a new ultrasmall-diameter long scope, may be useful in such cases. This single-center retrospective study included 39 cases where colonoscope insertion was difficult even when previously conducted by an experienced endoscopist. The primary outcome was the cecal intubation time using EC-760XP/L compared to the time used in a previous examination with a standard scope. The secondary outcomes were the cecum intubation rate, intestinal cleanliness level, adenoma detection rate, polyp detection rate, sedative use rate, occurrence of adverse events, and pain experience. A comparison of cecal intubation times between EC-760XP/L and the standard scope showed that insertion times were significantly lower with EC-760XP/L (9.5 min) compared to the standard scope (19 min) (p < 0.01). The standard scope achieved cecal intubation in 30 cases (76.9%), whereas EC-760XP/L reached the cecum in all cases (p < 0.01). Pain was observed in 3 cases (8.3%) with the EC-760XP/L, which was significantly lower than the 22 cases (56.4%) with the standard scope (p < 0.01). In conclusion, EC-760XP/L proved to be useful in cases where colonoscope insertion was difficult.