Endotics system<i>vs</i>colonoscopy for the detection of polyps

Tumino, E.; Sacco, Rodolfo; Bertini, Marco; Bertoni, Michele; Parisi, Giuseppe Fabio; Capria, A

doi:10.3748/wjg.v16.i43.5452

Cited by 57 publications

(38 citation statements)

References 19 publications

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“…The operator can steer the probe head in any direction, elongate the probe body to move it forward, and control rinsing, insufflation, and suction. Small-scale studies have been reported with Endotics, showing superiority in pain reduction versus conventional colonoscopy, but prolonged insertion times and a relatively low cecal intubation rate need to be overcome [ 35 , 36 ].…”

Section: Robotic Colonoscopymentioning

confidence: 99%

Painless Colonoscopy: Available Techniques and Instruments

Kim

2016

Clin Endosc

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During colonoscopy, air insufflation to distend the lumen and facilitate careful inspection and scope insertion can induce pain and cause discomfort. Carbon dioxide (CO2) insufflation can decrease abdominal pain and discomfort during and after colonoscopy. The advantage of CO2 insufflation is the rapid absorption of the gas across the intestine. Another painless option is water-assisted colonoscopy. Two methods for water-assisted colonoscopy are available: water immersion and water exchange. In a recent direct comparison, the water exchange method was superior to water immersion, CO2 insufflation, and air insufflation with respect to pain during colonoscopy, although it still had the disadvantage of being a time-consuming procedure. Cap-assisted colonoscopy is a simple technique involving the use of a small transparent cap attached to the tip of the scope. Three studies showed an advantage of this technique in terms of reduced patient discomfort compared with the conventional method. Three robotic colonoscopy systems (Endotics System [Era Endoscopy], NeoGuide [NeoGuide Systems Inc.], and Invendoscope [Invendo Medical]) have been introduced to evaluate pain reduction during colonoscopy, but none has been widely adopted and used in practice. In this review, clinical trials of several techniques and new devices for painless colonoscopy are described and summarized.

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Section: Robotic Colonoscopymentioning

confidence: 99%

Painless Colonoscopy: Available Techniques and Instruments

Kim

2016

Clin Endosc

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“…Likewise, the Endotics ® system, that consists of a robotic probe moving forward with an inchworm locomotion, allows for the painless progression into the colon, because it does not create loops, nor cause stretching of the colon walls [57] . The applicability of the Endotics ® system in clinical practice has already been proven [58] , and in 2014 its second version will be marketed with an operative channel of 3 mm in diameter, that will enable to take biopsies and will open the way to perform also other operative maneuvers.…”

Section: New Endoscopic Technologies For Colon Examinationmentioning

confidence: 99%

Colonoscopy, pain and fears: Is it an indissoluble trinomial?

Trevisani

Zelante

Sartori

2014

WJGE

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Colonoscopy is the reference method in the secondary prevention, diagnosis and, in some cases, treatment of colorectal cancer. It can often cause pain associated with embarrassment, anxiety, and physical and emotional discomfort. Pain intensity is influenced by a lot of factors, and there is a strict relationship among pain, pain perception, and mind. Several methods can be used to break the trinomial colonoscopy, pain and fear. Sedoanalgesia is recommended by several guidelines. If no sedation is offered, the patient must accept a higher chance of unacceptable discomfort and the endoscopist a lower chance of completing the procedure because of patient discomfort. Other non-pharmacologic methods such as acupuncture, music, and hydrocolonoscopy can be used as alternatives to pharmacologic sedoanalgesia. Furthermore, new endoscopic technologies such as variable-stiffness colonoscopes and ultrathin colonoscopes, or the use of carbon dioxide instead of air for colon insufflation, can reduce the pain caused by colonoscopy. In the future, technical improvements such as wireless capsules or robotic probes, will probably enable to overcome the present concept of colonoscopy, avoiding the use of traditional endoscopes. However, at present the poor attention paid by endoscopists to the pain and discomfort caused by colonoscopy can not be justified. There are several methods to reduce pain and anxiety and to break the trinomial colonoscopy, pain and fear. We must use them.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Colonoscopy; Pain; Fear; Anxiety; Discomfort; Conscious sedation Core tip: Colonoscopy can often cause pain associated with embarrassment, anxiety, and physical and emotional discomfort. Control of discomfort and pain during colonoscopy is considered to be a high priority by patients. This review of the literature encompasses the main methods for reducing pain and anxiety, to break the trinomial colonoscopy, pain and fear.

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“…The endotics system was shown to have a sensitivity of 93.3% and a specificity of 100% compared to the gold standard. 44 …”

Section: The Endotics Systemmentioning

confidence: 99%

Robotics in Colonoscopy

Cater

Vyas

2014

Amer J Robot Surg

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Colorectal cancer is the second leading cause of mortality in men and women in the United States. While there is a definite advantage regarding the use of colonoscopies in screening, there is still a lack of widespread acceptance of colonoscopy use in the general public. This is evident by the fact that up to 75% of patients diagnosed with colorectal cancer present with locally advanced disease. In order to make colonoscopy and in turn colorectal cancer screening a patient friendly and a comfortable test some changes in tool are necessary. The conventional colonoscope has not changed much since its development. There are several new advances in colorectal screening practices. One of the most promising new advances is the advent of robotic endoscopic techniques.

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Endotics systemvscolonoscopy for the detection of polyps

Abstract: The ES allows the visualization of the entire colonic mucosa in most patients, with good sensitivity/specificity for the detection of lesions and without requiring sedation.

Cited by 57 publications

References 19 publications

Painless Colonoscopy: Available Techniques and Instruments

Painless Colonoscopy: Available Techniques and Instruments

Colonoscopy, pain and fears: Is it an indissoluble trinomial?

Robotics in Colonoscopy

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