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Advanced imaging supporting quality in colonoscopy and improving ADR.
32nd GEEW, June 24th 2014
Courtesy of Professor R. Bisschops, UZ Leuven, Belgium
Testimonial 5 - Professor Helmut Neumann
Courtesy of Professor Helmut Neumann, UK Erlangen, Germany
Testimonial 4 - Dr. Silvia Sanduleanu
Courtesy of Dr. Silvia Sanduleanu, UMC+, The Netherlands
Testimonial 3 - Dr. Arthur Hoffman
Courtesy of Dr. Arthur Hoffman, HSK Wiesbaden, Germany
Testimonial 1 - Dr Rogier de Ridder
Courtesy of Dr. Rogier de Ridder, Maastricht UMC+, The Netherlands
Radiation Proctopathy (RP)
RP is a chronic condition that has a significant burden on patients quality of life and healthcare. This clip shows how i-scan 2 helps to highlight the vascular lesions in detail in a patient with symptomatic bleeding and allows targeted YAG laser treatment to the lesions. The vascular areas are not prominent on HD WLE or even i-scan 1 but by switching to i-scan 2 thermal therapy can be directed to the abnormal areas.
Courtesy of Dr. Rehan Haidry, UCLH, UK
Ulcerative colitis
In ulcerative colitis i-scan clearly shows inflammatory changes of the mucosa. We also use it in conjunction with chromoendoscopy for the surveillance of patients with longstanding chronic inflammatory bowel disease to increase detection of flat lesions.
Courtesy of Michael Häfner, St. Elisabeth Krakenhaus, Austria
Serrated adenoma
Serrated adenoma are frequently missed as they are flat lesions with very subtle changes to the normal mucosa pattern. i-scan allows for enhanced vision of the vascular pattern and changes like the rim of debris and the mucus cap.
Courtesy of Dr. Michael Häfner, St. Elisabeth Krakenhaus, Austria
Laterally spreading tumour
In this patient with a laterally spreading tumour granular type i-scan was used to get a clear idea about the polyps pit pattern. As a pit pattern type IV was found, indicating a benign lesion, we proceeded to resect the lesion by means of endoscopic mucosal resection.
Courtesy of Dr. Michael Häfner, St. Elisabeth Krakenhaus, Austria
Crohn`s disease ileum
Aphthoid ulcers of the terminal ileum are a typical finding in Crohn’s disease. As seen in this video, contrast and tone enhancement makes even subtle changes easier to spot.
Courtesy of Dr. Michael Häfner, St. Elisabeth Krakenhaus, Austria
