Fayyaz.
His center's decision involved a comparatively small upgrade. The
cost-benefit stakes are much higher when they involve the adoption
of an all-new scope or display system. "To change over is a major
investment," says Dr. Davidoff, whose center bought 32 scopes
about 4 years ago. "It has to be worthwhile for us to do that. We
can't just throw away all the scopes we have. That's a million-dollar
change."
Dr. Davidoff and his colleagues have trialed their preferred scope
manufacturer's new and improved platform, and were impressed by
some of its features. "There was a wider angle of view, and it was eas-
ier to move through the sigmoid colon," he says, as well as reduced
incidence of looping. But these advances on their own didn't warrant
1 2 7
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