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The best imaging test for screening
Lix Alfredo Reis de Oliveira
The best image for CRC screening is necessary
why
bull Adenomas are missed ( 22 - 31)
bull ADR increases risk of interval CRC decreases
Adenomas are missed why
bull Inadequate colon prep
bull Suboptimal Technique
bull Short withdrawal time
bull Flat and Depressed Lesions
bull Colon anatomy ndash proximal folds and flexures
bull Current Technology limitations
We can control
The best image for CRC screening is
The image that we can do the perfect colonoscopy That is
bull Prevent CRC in 100 of the patients
bull Detect 100 of the lesions
bull The patient can be 100 protect until the next round
bull Finish the doctor dependency
bull The technique for this must be safe cost benefit and easily
reproducible
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
The best image for CRC screening is necessary
why
bull Adenomas are missed ( 22 - 31)
bull ADR increases risk of interval CRC decreases
Adenomas are missed why
bull Inadequate colon prep
bull Suboptimal Technique
bull Short withdrawal time
bull Flat and Depressed Lesions
bull Colon anatomy ndash proximal folds and flexures
bull Current Technology limitations
We can control
The best image for CRC screening is
The image that we can do the perfect colonoscopy That is
bull Prevent CRC in 100 of the patients
bull Detect 100 of the lesions
bull The patient can be 100 protect until the next round
bull Finish the doctor dependency
bull The technique for this must be safe cost benefit and easily
reproducible
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
Adenomas are missed why
bull Inadequate colon prep
bull Suboptimal Technique
bull Short withdrawal time
bull Flat and Depressed Lesions
bull Colon anatomy ndash proximal folds and flexures
bull Current Technology limitations
We can control
The best image for CRC screening is
The image that we can do the perfect colonoscopy That is
bull Prevent CRC in 100 of the patients
bull Detect 100 of the lesions
bull The patient can be 100 protect until the next round
bull Finish the doctor dependency
bull The technique for this must be safe cost benefit and easily
reproducible
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
The best image for CRC screening is
The image that we can do the perfect colonoscopy That is
bull Prevent CRC in 100 of the patients
bull Detect 100 of the lesions
bull The patient can be 100 protect until the next round
bull Finish the doctor dependency
bull The technique for this must be safe cost benefit and easily
reproducible
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
Improved detection of right colon adenomas with additional retroflexion
following two forward-view examinations a prospective study
Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo
Department of Internal Medicine Kyungpook National University Hospital
Daegu Korea
Conclusions Colonoscopic retroflexion in the proximal colon resulted in
an increased detection of adenomas even after two consecutive forward-
view examinations
Endoscopy 2017 49(04) 334-341
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
CAP
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
CAP ndash RCT - Asian Studies
Autor n Cecal rate ADR
Matsushita
1998
1998
24 NS 15 vs 0 miss
rate
Autor NS 15 vs 0 miss
rate
Tada 1997 140 NS 086 vs 058
Kondo 2006 684 NS 49 vs 39
Horiushi 2008 NR 835 NS RCT ( 20 vs 4
)
Sato 2008 483 NS not stated
Lee 2009 1000 NS favored standard
Takano 2008 2502 NS 47 vs 426
Harada 2010 592 NS NS
Tee 2010 400 NS NS
Dai 2010 250 NS NS
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
CAP ndash RCT - Western Studies
Autor number
patients
Cecal Rate ADR
Dafris
Sweden 2000
50 NS NS
Hewett
Indiana
2010
100 NS miss rate
21 vs 33
Hastogi
Kansas 2011
RCT NS ADR
69 vs 56
Wijkerslooth
Neetherland
2011
RCT NS NS
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
Virtual Chromo-endoscopy
bull FICE iScan NBI ( 1 )
bull NBI ( 2 ) BLI LCI
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
Virtual Chromo-endoscopy
Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser
imaging a multicenter randomized controlled trial
Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD
Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD
Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi
Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD
Gastrointestinal Endoscopy
Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
Virtual Chromo-endoscopy
Linked color imaging improves the visibility of various featured colorectal
polyps in an endoscopists visibility and color difference value
Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada
Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3
Kishimoto M4 Konishi E4 Itoh Y2
Int J Colorectal Dis 2017 Jul 19 doi
101007s00384-017-2855-z
CONCLUSION - LCI improved the various featured polyps visibility compared
to WL in both polyp visibility scores and CD value
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
GIE Marccedilo 2011
Effect of a retrograde-viewing device on adenoma
detection rate during colonoscopy the TERRACE
study
bullAumenta a detecccedilatildeo de
adenomas
bullAumenta o tempo de exame
bullDiminui a aspiraccedilatildeo
bullPouco praacutetico
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
OK what we have in 2017 is
bull HD Colonoscope
bull Retroview in ascending colon
bull Second look ascending colon
bull Cap-assisted colonoscopy
bull Virtual Chromo-endoscopy
bull Third Eye Retroscope and Panoramic
bull Wide-angle view colonoscope ( Olympus )
bull Fuse colonoscopy ( EndoChoice Boston Scientific )
bull G-EYE ballon colonoscope ( Pentax)
bull Endocuff
bull EndoRings
No sufficient evidence for screening
Not practical application
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
Conclusions
The Best Image
Find all adenomas ndash Flat Depressed SSA
- Bowel Prep - Split the dose
- HD Colonoscope
- Withdrawal Technique look 2X
- Monitor the ADRSSA
- Exciting Technologies Emerging
- We can do better
THANK YOU
uniendolixterracombr
THANK YOU
uniendolixterracombr