The best imaging test for screening

Lix Alfredo Reis de Oliveira

The best image for CRC screening is necessary

why

bull Adenomas are missed ( 22 - 31)

bull ADR increases risk of interval CRC decreases

Adenomas are missed why

bull Inadequate colon prep

bull Suboptimal Technique

bull Short withdrawal time

bull Flat and Depressed Lesions

bull Colon anatomy ndash proximal folds and flexures

bull Current Technology limitations

We can control

The best image for CRC screening is

The image that we can do the perfect colonoscopy That is

bull Prevent CRC in 100 of the patients

bull Detect 100 of the lesions

bull The patient can be 100 protect until the next round

bull Finish the doctor dependency

bull The technique for this must be safe cost benefit and easily

reproducible

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

The best image for CRC screening is necessary

why

bull Adenomas are missed ( 22 - 31)

bull ADR increases risk of interval CRC decreases

Adenomas are missed why

bull Inadequate colon prep

bull Suboptimal Technique

bull Short withdrawal time

bull Flat and Depressed Lesions

bull Colon anatomy ndash proximal folds and flexures

bull Current Technology limitations

We can control

The best image for CRC screening is

The image that we can do the perfect colonoscopy That is

bull Prevent CRC in 100 of the patients

bull Detect 100 of the lesions

bull The patient can be 100 protect until the next round

bull Finish the doctor dependency

bull The technique for this must be safe cost benefit and easily

reproducible

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

Adenomas are missed why

bull Inadequate colon prep

bull Suboptimal Technique

bull Short withdrawal time

bull Flat and Depressed Lesions

bull Colon anatomy ndash proximal folds and flexures

bull Current Technology limitations

We can control

The best image for CRC screening is

The image that we can do the perfect colonoscopy That is

bull Prevent CRC in 100 of the patients

bull Detect 100 of the lesions

bull The patient can be 100 protect until the next round

bull Finish the doctor dependency

bull The technique for this must be safe cost benefit and easily

reproducible

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

The best image for CRC screening is

The image that we can do the perfect colonoscopy That is

bull Prevent CRC in 100 of the patients

bull Detect 100 of the lesions

bull The patient can be 100 protect until the next round

bull Finish the doctor dependency

bull The technique for this must be safe cost benefit and easily

reproducible

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

OK what we have in 2017 is

bull HD Colonoscope bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

Improved detection of right colon adenomas with additional retroflexion

following two forward-view examinations a prospective study

Hyun Seok Lee Seong Woo Jeon Hye Yoon Park Seong Jae Yeo

Department of Internal Medicine Kyungpook National University Hospital

Daegu Korea

Conclusions Colonoscopic retroflexion in the proximal colon resulted in

an increased detection of adenomas even after two consecutive forward-

view examinations

Endoscopy 2017 49(04) 334-341

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

CAP

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

CAP ndash RCT - Asian Studies

Autor n Cecal rate ADR

Matsushita

1998

1998

24 NS 15 vs 0 miss

rate

Autor NS 15 vs 0 miss

rate

Tada 1997 140 NS 086 vs 058

Kondo 2006 684 NS 49 vs 39

Horiushi 2008 NR 835 NS RCT ( 20 vs 4

)

Sato 2008 483 NS not stated

Lee 2009 1000 NS favored standard

Takano 2008 2502 NS 47 vs 426

Harada 2010 592 NS NS

Tee 2010 400 NS NS

Dai 2010 250 NS NS

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

CAP ndash RCT - Western Studies

Autor number

patients

Cecal Rate ADR

Dafris

Sweden 2000

50 NS NS

Hewett

Indiana

2010

100 NS miss rate

21 vs 33

Hastogi

Kansas 2011

RCT NS ADR

69 vs 56

Wijkerslooth

Neetherland

2011

RCT NS NS

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

Virtual Chromo-endoscopy

bull FICE iScan NBI ( 1 )

bull NBI ( 2 ) BLI LCI

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

Virtual Chromo-endoscopy

Detectability of colorectal neoplastic lesions using a novel endoscopic system with blue laser

imaging a multicenter randomized controlled trial

Hiroaki Ikematsu MD PhD Taku Sakamoto MD Kazutomo Togashi MD PhD Naohisa Yoshida MD PhD Takashi Hisabe MD PhD

Shinsuke Kiriyama MD PhD Koji Matsuda MD PhD Yoshikazu Hayashi MD PhD Takahisa Matsuda MD PhD Shozo Osera MD PhD

Kazuhiro Kaneko MD PhD Kenichi Utano MD PhD Yuji Naito MD PhD Hiroshi Ishihara MD Masayuki Kato MD PhD Kenichi

Yoshimura PhD Hideki Ishikawa MD PhD Hironori Yamamoto MD PhD Yutaka Saito MD PhD

Gastrointestinal Endoscopy

Volume 86 Issue 2 Pages 386-394 (August 2017) DOI 101016jgie201701017

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

Virtual Chromo-endoscopy

Linked color imaging improves the visibility of various featured colorectal

polyps in an endoscopists visibility and color difference value

Yoshida N1 Naito Y2 Yasuda R2 Murakami T2 Hirose R2 Ogiso K2 Inada

Y2 Dohi O2 Kamada K2 Uchiyama K2 Handa O2 Konishi H2 Rani RA3

Kishimoto M4 Konishi E4 Itoh Y2

Int J Colorectal Dis 2017 Jul 19 doi

101007s00384-017-2855-z

CONCLUSION - LCI improved the various featured polyps visibility compared

to WL in both polyp visibility scores and CD value

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

GIE Marccedilo 2011

Effect of a retrograde-viewing device on adenoma

detection rate during colonoscopy the TERRACE

study

bullAumenta a detecccedilatildeo de

adenomas

bullAumenta o tempo de exame

bullDiminui a aspiraccedilatildeo

bullPouco praacutetico

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

No sufficient evidence for screening

Not practical application

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

GIE Marccedilo 2011

Effect of a retrograde-viewing device on adenoma

detection rate during colonoscopy the TERRACE

study

bullAumenta a detecccedilatildeo de

adenomas

bullAumenta o tempo de exame

bullDiminui a aspiraccedilatildeo

bullPouco praacutetico

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

No sufficient evidence for screening

Not practical application

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

No sufficient evidence for screening

Not practical application

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

No sufficient evidence for screening

Not practical application

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

No sufficient evidence for screening

Not practical application

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

OK what we have in 2017 is

bull HD Colonoscope

bull Retroview in ascending colon

bull Second look ascending colon

bull Cap-assisted colonoscopy

bull Virtual Chromo-endoscopy

bull Third Eye Retroscope and Panoramic

bull Wide-angle view colonoscope ( Olympus )

bull Fuse colonoscopy ( EndoChoice Boston Scientific )

bull G-EYE ballon colonoscope ( Pentax)

bull Endocuff

bull EndoRings

No sufficient evidence for screening

Not practical application

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

Conclusions

The Best Image

Find all adenomas ndash Flat Depressed SSA

- Bowel Prep - Split the dose

- HD Colonoscope

- Withdrawal Technique look 2X

- Monitor the ADRSSA

- Exciting Technologies Emerging

- We can do better

THANK YOU

uniendolixterracombr

THANK YOU

uniendolixterracombr