INTESTINE Vol.21 No.5(1-3-1)

Theme Modality and new development in diagnosis for colorectal tumor -- with the aim of the improvement of a presence and qualitative diagnosis
Title Full-spectrum endoscopy (FUSE)
Publish Date 2017/09
Author Toyoki Kudo Digestive Disease Center, Showa University Yokohama Northern Hospital
Author Yutaka Saito Endoscopy Division, National Cancer Center Hospital
Author Hiroaki Ikematsu Endoscopy Division, National Cancer Center Hospital East
Author Kinichi Hotta Division of Endoscopy, Shizuoka Cancer Center
Author Yoji Takeuchi Department of Gastrointestinal Oncology, Osaka International Cancer Institute
Author Hideki Ishikawa Department of Molecular-Targeting Cancer Prevention, Kyoto Prefectural University of Medicine
Author Yuichi Mori Digestive Disease Center, Showa University Yokohama Northern Hospital
Author Yasuharu Maeda Digestive Disease Center, Showa University Yokohama Northern Hospital
Author Shin-ei Kudo Digestive Disease Center, Showa University Yokohama Northern Hospital
[ Summary ] Full-spectrum endoscopy (FUSE) is the nextgeneration endoscopic system in which a CCD lens is put on in both sides of the scope tip. It is hoped detection of lesions during colonoscopy will be improved by using FUSE. From the results of prospective controlled trials carried out in western countries, it has been reported that adenoma miss rates (AMR) with FUSE were significantly lower in comparison to those with conventional standard forward viewing colonoscopy. However, some contradictions occur in the usefulness of the FUSE in relation to our ability to detect lesions because it has been reported that there was not a significantly different adenoma detection rate (ADR) observed in a subsequent study. We commented primarily on the results reported and summaries of multicenter randomized controlled trials (J-FUSE STUDY) conducted in Japan.
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