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more reassurance that I'm not missing a flat polyp."
Dr. Barber uses the cuff during screenings of patients at high risk for
colon cancer and to stabilize the scope during endoscopic mucosal
resection. He says it's more difficult, but not impossible, to intubate
the terminal ileum with the cuff on. He also believes the device helps
him maneuver through difficult colons. Cost is the only factor that pre-
vents Dr. Barber from using the cuff during every case. "The device is
outstanding, but I have to be reasonable about adding about $20 to a
case," he says.
Pentax Medical
RetroView
Colonoscope
This scope differentiates
itself from others on the
market with its 210°
angulation in the up
position, shortened
bending section and
slimmer diameter in the
retroflex position, which provides better views of polyps behind folds
in the colon.
Subas Banerjee, MD, associate professor of medicine at the Stanford
University Medical Center in Palo Alto, Calif., says the very short turn-
ing radius makes it easier to retroflex. He says the scope successfully
negotiates difficult colons ravaged by scar tissue, attacks of inflamma-
tion or previous surgeries. "The scope can bend on a dime to snake its
way through where standard slim scopes or pediatric scopes could-
n't," says Dr. Banerjee. i-SCAN imaging technology enhances the sur-
face architecture of polyps, which Dr. Banerjee says lets him differen-
C O L O N O S C O P Y
