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Blair S. Lewis, MD, PC, of
Carnegie Hill Endoscopy in
New York City, says the 3-
screen setup isn't necessarily
intuitive. The self-described
"slow learner" says it took him about 60
cases to retrain his movements. He says
the system differentiates his Manhattan
practice from the competition and, more
importantly, lets him detect polyps he would
have otherwise missed with conventional for-
ward-viewing technology. Working with the FUSE demands investing
in an entire new platform, but Dr. Lewis says the added cost is negligi-
ble when considered in the context of performing quality
colonoscopy.
Medivators
Endocuff
This device fits over the tip of most endoscopes to hold colon folds
open during extubation, which lets physicians see more mucosa for
easier polyp identification. It can also anchor the scope against the
colon wall, creating more stability and
improved control during procedures.
Jeremy D. Barber, DO, of Mercy
Internal Medicine in Muskegon, Mich.,
says the cuff improves visualization in
patients with poor preps. "Pulling back
the folds lets me access and suction pools
of liquid," he explains. "It flattens out the
areas so I can visualize what's there, which provides
C O L O N O S C O P Y