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O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | F E B R U A R Y 2 0 1 4
ventional scopes have an adenoma miss rate in the range of 24 to 31%.
A recent comparative study (
tinyurl.com/l6z6mle
) found that the Fuse
system detected 48 adenomas in a cohort of 88 patients, compared
with 28 that were detected by traditional forward-viewing scopes.
"It's very clever," says Dr. Morris. "It's one of those things that
you look at and wonder why didn't somebody do this sooner. We
really have made major strides in the last 10 years — with high-def,
flat screens, better monitors — but all that's really incremental,
whereas this is much more disruptive technology."
Medivators Endocuff
A standout in the mechanical
realm of improving visuals, the
Endocuff can be placed on the
tip of any standard colonoscope.
Its "fingers" hug and flatten the
folds during extubation, expos-
ing underside polyps that might otherwise evade detection.
"It's an exciting development," says Seth A. Gross, MD, director of
endoscopy at Tisch Hospital, NYU Langone Medical Center in New
York. "My colleagues and I have definitely found polyps that they
didn't see with the forward view. We feel we were doing an excellent
exam with current colonoscopy and that this made it better."
The single-use device is also a boon when it comes to resection, says
Dr. Gross: "The fingers kind of just pull it right in front of you and
bring it right into the light. And because the fingers are holding the
folds down, it helps stabilize you, too, and allows for removal of those
hidden polyps." OSM
E-mail
jb urg er@outpatientsurg ery.net
.
G I V I S U A L I Z A T I O N
Medivators
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