Outpatient Surgery Magazine

No More Never Events - February 2014 - 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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Colonoscopy and gastroscopy are widely accepted as the gold standards for screening, surveillance, and diagnosis of GI diseases. However, endoscopy technology has not changed signicantly in decades and misses still occur 1 . In a tandem study using traditional forward viewing (TFV) endoscopes, Rex et al. found they missed 24% of the adenomas in the rst colonoscopy. Since that landmark study, other technologies have shown the miss rate for TFV to be 31% 2 . In another multi-center tandem trial, the Fuse ™ endoscope system demonstrated the miss rate on adenomas with TFV was 42%. Out of 88 patients, a total of 48 adenomas were observed. TFV identied 28 adenomas. Fuse observed an additional 20 adenomas. This means an additional 71% more adenomas were detected by Fuse that traditional forward viewing endoscopes missed 3 . Conversely, when the patient received a colonoscopy with Fuse rst, followed by TFV, the researchers had an adenoma miss rate of only 8%. Fuse ™ Colonoscope Full 330° Field of View Traditional Colonoscope Limited 170° Field of View Find what traditional colonoscopes and gastroscopes are missing. 42 Incremental adenoma #nd rate with Fuse ™ 8 71 % % % TFV Rex et al. 24% TFV Siersema et al. 31% Gralnek et al. 8% TFV Gralnek et al. 42% Adenoma Miss Rate 2013 2012 1997 2013 Miss Rate with Fuse ™ endoscope Miss Rate with TFV endoscope Fuse ™ . Full Spectrum Endoscopy ™ . EndoChoice.com/Fuse (1) Rex et al. Gastroenterology 1997; (2) Siersema et al. World Journal of Gastroenterology, 2012; (3) Gralnek et al. 2013 DDW AGA/ASGE Plenary How was this achieved? Traditional endoscopes typically provide no more than a 140°-170° eld of view. Fuse Full Spectrum Endoscopy provides a much greater eld of view (330° Colonoscope / 245° Gastroscope), allowing the endoscopist to see nearly twice as much anatomy as traditional endoscopes. To schedule a Fuse experience, call your EndoChoice sales representative, or the EndoChoice Headquarters, at 888.682.3636 x.5, or email fuse@endochoice.com. Fuse ™ 1G Gastroscope 245° Field of View Fuse ™ 1C Colonoscope 330° Field of View 1G 1C Project1_Layout 1 1/27/14 9:51 AM Page 1

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