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Published in: Digestive Diseases and Sciences 3/2011

01-03-2011 | Case Report

Experience with the New 4-Way, 5.5-mm Ultrathin Endoscope: A Case Series

Authors: Deepak Agrawal, Richard C. K. Wong, Gerard Isenberg, Ashley Faulx, Amitabh Chak

Published in: Digestive Diseases and Sciences | Issue 3/2011

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Abstract

Background and Study Aims

Use of ultrathin (ut) endoscopes is sometimes limited by their design (outer diameter, tip angulation and image quality). New ut-endoscopes are being designed to address these limitations. A new utendoscope, XGIF-PV70N5 (Olympus America Inc.), with an outer diameter of 5.5 mm, 4-way angulation and narrow band imaging has recently been introduced. In this study, we report our subjective experience with this prototype ut-endoscope and discuss the practical uses of its new features.

Patients and Methods

In this prospective case series, ut-endoscopy was performed on selected patients scheduled for endoscopy at a tertiary referral center.

Results

Ut-endoscopy was successfully performed on 15 patients with varied indications. The 4-way angulation proved advantageous but not necessary. Narrow band imaging was not very useful in this group of patients. The image quality was satisfactory.

Conclusions

The prototype ut-endoscope can be used for a broad range of indications. The 4-way angulation may prove advantageous in specific situations and the role of narrow-band imaging remains to be defined.
Literature
1.
2.
go back to reference Tatsumi Y, Harada A, Matsumoto T, et al. Feasibility and tolerance of 2-way and 4 way angulation videoscopes for unsedated patients undergoing transnasal EGD in GI cancer screening. Gastrointest Endosc. 2008;67:1021–1027.CrossRefPubMed Tatsumi Y, Harada A, Matsumoto T, et al. Feasibility and tolerance of 2-way and 4 way angulation videoscopes for unsedated patients undergoing transnasal EGD in GI cancer screening. Gastrointest Endosc. 2008;67:1021–1027.CrossRefPubMed
3.
go back to reference Preiss C, Charton JP, Schumacher B, et al. A randomized trial of unsedated transnasal small-caliber esophagogastroduodenoscopy (EGD) versus peroral small-caliber EGD versus conventional EGD. Endoscopy. 2003;35:641–646.CrossRefPubMed Preiss C, Charton JP, Schumacher B, et al. A randomized trial of unsedated transnasal small-caliber esophagogastroduodenoscopy (EGD) versus peroral small-caliber EGD versus conventional EGD. Endoscopy. 2003;35:641–646.CrossRefPubMed
4.
go back to reference Mori A, Fushimi N, Asano T, et al. Cardiovascular tolerance in unsedated upper gastrointestinal endoscopy: prospective randomized comparison between transnasal and conventional oral procedures. Dig Endosc. 2006;18:282–287.CrossRef Mori A, Fushimi N, Asano T, et al. Cardiovascular tolerance in unsedated upper gastrointestinal endoscopy: prospective randomized comparison between transnasal and conventional oral procedures. Dig Endosc. 2006;18:282–287.CrossRef
5.
go back to reference Adler DG, Gostout CJ, Baron TH. Percutaneous transgastric placement of jejunal feeding tubes with an ultrathin endoscope. Gastrointest Endosc. 2002;55:106–110.CrossRefPubMed Adler DG, Gostout CJ, Baron TH. Percutaneous transgastric placement of jejunal feeding tubes with an ultrathin endoscope. Gastrointest Endosc. 2002;55:106–110.CrossRefPubMed
6.
go back to reference Vitale MA, Villotti G, D’Alba L, et al. Unsedated transnasal percutaneous endoscopic gastrostomy placement in selected patients. Endoscopy. 2005;37:48–51.CrossRefPubMed Vitale MA, Villotti G, D’Alba L, et al. Unsedated transnasal percutaneous endoscopic gastrostomy placement in selected patients. Endoscopy. 2005;37:48–51.CrossRefPubMed
7.
go back to reference Itoi T, Sofuni A, Itokawa F, et al. Peroral cholangioscopic diagnosis of biliary-tract diseases by using narrow-band imaging. Gastrointest Endosc. 2007;66:730–736.CrossRefPubMed Itoi T, Sofuni A, Itokawa F, et al. Peroral cholangioscopic diagnosis of biliary-tract diseases by using narrow-band imaging. Gastrointest Endosc. 2007;66:730–736.CrossRefPubMed
Metadata
Title
Experience with the New 4-Way, 5.5-mm Ultrathin Endoscope: A Case Series
Authors
Deepak Agrawal
Richard C. K. Wong
Gerard Isenberg
Ashley Faulx
Amitabh Chak
Publication date
01-03-2011
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 3/2011
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-010-1344-9

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