Other tools
The Endocuff endoscopic over-
tube, which helps flatten folds and
improve visualization, can also
help with tight passages. "There's
lot more to Endocuff than just
adenoma detection," says Dr.
Gorcey. "It helps a lot when you're
trying to get through a twistier
colon, because it gives you ability
to anchor anywhere." When reim-
bursement isn't a concern, "I'll
usually go in with ScopeGuide and
Endocuff. I might as well use the
highest level of technology I have."
The more tools you have, the
more you can do, says Dr. Parikh,
even if you're talking about tools
that may not be needed for every
Every
colon is
like a lock
with its own
combination,
and you have
to figure out
the code to
get through.