As technology improves, the applications of endoscopic therapies advance. Endoscopic techniques raise the imagination as the application of endoscopes widens from intraluminal to transluminal treatment.
FREMONT, CA: Although the basic platform of flexible endoscopes is similar to the ones before, several recent technological advances are becoming available to the endoscopist. New self-propelled endoscopes and shape-conforming overtures may permit simpler colonoscopic exams. A large number of new imaging modalities may facilitate early detection of dysplasia and other pathologic entities. Most of these techniques remain investigational and are presently used in clinical trials to determine the patient benefit. Thus, as endoscopic technology and its indications progress in tandem, the endoscopist's armamentarium continues to expand.
One of the challenges in the modern endoscopy, especially the colonoscopy, is the formation of undesired loops in the shaft of a flexible scope. Loop formation impedes expeditious and safe passage to the cecum by transmitting the force of entry to the colon wall or mesentery rather than ahead of the progression.
Shape Locking Tool
The ShapeLock Endoscopic Guide includes a reusable skeleton of multiple titanium links, a disposable inner plastic lining, an atraumatic foam tip, and a disposable smooth external skin. A squeeze handle at the base of the device converts it from a flexible model to a rigid model. Above that, a separate report extolled the capacity to redeploy the colonoscope when utilizing the shape locking device rapidly should specimen retrieval and reinvestigation of the colon be necessary.
New Scope Technology
While the manufacturing of standard endoscopes has remained largely unchanged over many years, the novel scope designs are being developed to either simplify colonoscopic examinations or improve the mucosal visualization. Other than double-balloon enteroscopy, these advanced technologies are chiefly limited to small clinical trials, but their application could help get momentum in the future.
The Neo-Guide Endoscopy System is designed to avoid the loop formation by adjusting an endoscope's insertion tube to match the configuration of the colon. Using a sophisticated computer program, data from the doctor-determined tip orientation and insertion depth is used to create a 3-dimensional map of the colon.