Outpatient Surgery Magazine

Manager's Guide to Surgery's Hottest Trends - April 2014

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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6 9 M O N T H 2 0 1 4 | S U P P L E M E N T T O 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 E N D O S C O P Y C linical reviews of the effec- tiveness of Medivators' EndoCuff Endoscopic Overtube and the G-Eye Endoscope from Smart Medical Systems in improving colonoscopies are still underway. The earliest, manufacturer- funded studies of EndoChoice's Fuse Full Spectrum Endoscopy system, however, have been impressive. According to a study published in the March issue of the journal Lancet Oncology ( tinyurl.com/llq65ev ), Fuse's full-spectrum endoscopy is superior to standard, forward- view colonoscopy in terms of adenoma miss rates. Researchers at surgical facilities in Israel, the U.S. and the Netherlands report that while forward-view missed 41% of ade- nomas (20 out of 49 in 15 patients), full-spectrum missed only 7% (5 out of 67 in 5 patients). Since previous studies have marked forward-view's typical miss rate at 24% and 31%, this could prove a colossal improvement. "Full-spectrum endoscopy represents a tech- nology advancement for colonoscopy and could improve the efficacy of colorectal can- cer screening and surveillance," the researchers write. These preliminary results are promising. However, more time and research — including studies showing reproducible results — may be needed to change a majori- ty of physicians' practice patterns. What time will also tell — in the form of sustained, practical use — is whether these endoscopic innovations will revolutionize care. Consider, for instance, con- trast enhancement mode (also known as narrow-band imaging), an endoscopic technology that emerged around the same time as high definition did. Positioned as a "virtual chromoendoscopy," it used specific wavelengths of light (instead of dye) CLINICAL RESULTS The Effects of Enhanced Endoscopy TRIPLE TRIAL EndoChoice's Fuse supplements the forward view with peripheral vision. Daniel Cook 1404_SurgerysHottestTrends_Layout 1 3/27/14 2:51 PM Page 69

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