INTESTINE Vol.21 No.5(1-3-2)

Theme Modality and new development in diagnosis for colorectal tumor -- with the aim of the improvement of a presence and qualitative diagnosis
Title Extra-wide-angle colonoscope (Olympus)
Publish Date 2017/09
Author Toshio Uraoka Department of Gastroenterology, National Hospital Organization Tokyo Medical Center / Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University
Author Shinji Tanaka Department of Endoscopy, Hiroshima University Hospital
Author Takayuki Matsumoto Division of Gastroenterology, Department of Medicine, Iwate Medical University
Author Yutaka Saito Endoscopy Division, National Cancer Center Hospital
Author Shoichi Saito Department of Gastroenterology, The Cancer Institute Hospital
Author Takahisa Matsuda Endoscopy Division, National Cancer Center Hospital / Cancer Screening Center, National Cancer Center Hospital
Author Shiro Oka Department of Endoscopy, Hiroshima University Hospital
Author Tomohiko Moriyama Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
Author Haruhiko Ogata Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine
Author Naohisa Yahagi Division of Research and Development for Minimally Invasive Treatment, Cancer Center, School of Medicine, Keio University
Author Hideki Ishikawa Department of Molecular-Targeting Cancer Prevention, Kyoto Prefectural University of Medicine
Author Hisao Tajiri Department of Innovative Interventional Endoscopy Research, The Jikei University School of Medicine
[ Summary ] Endoscopic removal of adenomas can decrease the incidence of and mortality associated with colorectal cancer. However, the adenoma detection rate (ADR) of a colonoscopy cannot be 100 %. Novel colonoscopes have been developed to ensure a wider-angle view of the operative field (or only wider-angle view), with improved ADR. Olympus has been developing the "extra-wide-angle-view colonoscope", which has two lenses -- a lateral-backward view lens in addition to a standard angle forward view lens. Two views from both lenses are simultaneously constructed and displayed on a video monitor as a single image. This novel colonoscope is expected to be a valuable tool for colorectal cancer screening.
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