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ENDOSCOPY
Endoscopic technology: Driving earlier detection
The latest LED imaging and ergonomic design developments in endoscope technology are among the most significant for a generation according to Dr Bu’Hussain Hayee, clinical lead for gastroenterology at King’s College Hospital NHS Foundation Trust. The impact of these developments is offering real progress for earlier detection, enhanced characterisation and assessment of abnormalities.
While traditionally white light has been the de facto standard for the imaging of soft tissue, a new wave of technologies is emerging that deploys a combination of imaging modalities that allow
gastroenterologists to see and detect much more than has been previously possible. One such example is the breakthrough Eluxeo 7000 system from Fujifilm, which employs 4-LED multi-Light technology, in a bid to enable endoscopists to gain superior visualisation of mucosal surfaces and vessel structures within the gastrointestinal tract. By extending the range of imaging modes available in one product to include White Light, Blue Light Imaging (BLI) and Linked Colour Imaging (LCI), systems that incorporate the new technology clinicians can use the brightness to allow them to detect more abnormalities. With a wider light spectrum, options to switch to other wavelength modes - including BLI - and a range of optimal zoom features offering magnification of up to 135x in imaging systems, the technology can also help gastroenterologists to better analyse and characterise anomalies.
Using white light endoscopic imaging equipment with 4-LED Multi-Light is said to give clinicians the ability to detect and classify structures within the gastrointestinal tract. It’s why a growing number of consultants, including Dr Hayee, are using LED powered systems, encouraged by its ability to enhance the detection, characterisation and assessment of abnormalities. As an advocate of using ‘advanced’
endoscopic imaging in routine clinical practice, Dr Hayee is already using the technology at London’s King’s College Hospital.
Battling bowel cancer
As one of the country’s nationally-accredited bowel cancer screening colonoscopists, Dr Hayee’s work is essential in the battle against bowel cancer, which despite remaining stable in terms of new incidence rates over the last decade is still the UK’s second leading cause of cancer death according to Cancer Research UK figures.1
With Public
Health England recently announcing its intention to lower the start age of bowel cancer screening to age 50, this development together with the latest developments in endoscopic imaging
To address demand, GI endoscopic procedures that have traditionally been carried out by doctors are increasingly being performed by nurses and other practitioners.
NOVEMBER 2018
technology offer real potential for earlier detection of abnormalities and prevention of more of these from developing into cancer. This is something that Dr Hayee is already seeing with his own patients, as the ability to switch to different imaging modes in real-time is enabling endoscopists to see even early abnormalities with much greater clarity. Since using the technology Dr Hayee has seen his detection of abnormalities increase in patients referred for bowel cancer screening. “Our screening programme caters for a range of scenarios, from individuals identified with blood in their stools to patients at greater cancer risk due to hereditary factors or colitis,” commented Dr Hayee. “It’s therefore critical that I have the very best tools at my disposal, so I can detect cancer or pre-cancerous changes as early as possible. I’m very confident that using the 4-LED Multi-Light technology system helps me to achieve this.”
A well-designed endoscope can also be hugely beneficial, with the latest advancements in ergonomic design offering significant benefits for practitioners and patients alike.
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