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98-1.15) were similar between the two groups. Likewise, mean adenoma per colonoscopy (mean difference 0.17, -0.09 to 0.43), cecal intubation rate (risk ratio 1.00, 0.99-1.01), and cecal intubation time (mean difference 0.20min, -0.34 to 0.74) did not differ between the two add-on devices. No serious adverse event was observed. EndoRings did not seem to significantly improve the diagnostic performance of colonoscopy. Further trials are needed to confirm these results. EndoRings did not seem to significantly improve the diagnostic performan