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The Secret of Gritflowness - October 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4 0 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 2 0 U ltrathin endoscopes have proven to be invaluable instruments for exam- ining the upper GI tract of patients with challenging anatomy, even if that wasn't their intended applica- tion. "Upper endoscopy exams performed with a standard endoscope passed through the mouth require sedating the patient, and ultrathin scopes were originally designed to facilitate sedationless upper endoscopies with the transnasal approach," says Vivek Kaul, MD, FACG, FASGE, AGAF, a pro- fessor of medicine at the University of Rochester (N.Y.) Medical Center & Strong Memorial Hospital. "But the method has failed to catch on, perhaps because patients have expectations to receive seda- tion and anesthesia when undergoing exams." The push for transnasal endoscopy was intended to mitigate risks related to sedation and anesthesia, which account for a majority of complications that occur during upper endoscopy procedures. "Sedationless exams are also easier for patients, who undergo the procedures and can drive them- Dan Cook | Editor-in-Chief Up to Speed on Ultrathin Endoscopes The slimmed down devices are designed to improved access and visualization during upper endoscopies. ENHANCED VIEW Advanced imaging on the latest ultrathin endoscopes highlights abnormalities along the mucosal lining and helps physicians identify cancerous growths.

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