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A Drug Diverter Comes Clean - Subscribe to Outpatient Surgery Magazine - December 2017

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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(N.J.) Gastroenterology. Being able to visualize the specific loops helps doctors know when to torque the scope and which moves to use to pull the loop out of its position. While many more experienced GI docs are trained to notice an error in the scope's movements without the use of 3D imaging, it can be a boon to newer physicians and physicians in training, says Dr. Weine. That's especially true when, during a colonoscopy, doctors reach the splenic flexure, where they can find some resistance as the scope works its way into the transverse colon, he says. In that case, some less-experienced doctors will just try to push the scope forward with- out the appropriate amount of delicacy. "You can actually rupture the spleen," says Dr. Weine. 3D imaging can give those newer doctors an indication of why they're being met with resistance, prompting them to be more careful as they move the scope onward. Scope caps are another type of beneficial tool when it comes to maneuverability. There are different variations on the caps, but they're all attachments that are placed on the end of the scope and help guide the device through the colon. One variation has rows of finger-like projections that reach out from the side of the scope, says Dr. Gross. Another has flexible discs that circle the side of the scope. Scope caps help to provide traction as your doctors move through the colon, says Dr. Gross, who explains, "It engages the colon and reduces loops." The rings or fingers of the scope cap also help to keep the device in the middle of the colon so it has less of a chance of straying to one side. "Because you're stabilized and reaching the end of the colon with a straighter scope, it makes removing polyps easier," says Dr. Gross. Both 3D imaging and CAC (cap-assisted colonoscopy) can make it easier for your doctors to reach the cecum more frequently. Giving 1 4 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • D E C E M B E R 2 0 1 7

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