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Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements

Flexible gastro-intestinal (GI) endoscopy is an integral diagnostic and therapeutic tool in clinical gastroenterology. High quality standards for safety, patients' comfort, and efficiency have already been achieved. Clinical challenges and technical approaches are discussed in this short review...

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Detalles Bibliográficos
Autores principales: Kurniawan, Niehls, Keuchel, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Research Network of Computational and Structural Biotechnology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294716/
https://www.ncbi.nlm.nih.gov/pubmed/28179979
http://dx.doi.org/10.1016/j.csbj.2017.01.004
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author Kurniawan, Niehls
Keuchel, Martin
author_facet Kurniawan, Niehls
Keuchel, Martin
author_sort Kurniawan, Niehls
collection PubMed
description Flexible gastro-intestinal (GI) endoscopy is an integral diagnostic and therapeutic tool in clinical gastroenterology. High quality standards for safety, patients' comfort, and efficiency have already been achieved. Clinical challenges and technical approaches are discussed in this short review. Image enhanced endoscopy for further characterization of mucosal and vascular patterns includes dye-spray or virtual chromoendoscopy. For confocal laser endoscopy, endocytoscopy, and autofluorescence clinical value has not yet been finally evaluated. An extended viewing field provided by additional cameras in new endoscopes can augment detection of polyps behind folds. Attachable caps, flaps, or balloons can be used to flatten colonic folds for better visualization and stable position. Variable stiffness endoscopes, radiation-free visualization of endoscope position, and different overtube devices help reducing painful loop formation in clinical routine. Computer assisted and super flexible self-propelled colonoscopes for painless sedation-free endoscopy need further research. Single-use devices might minimize the risk of infection transmission in the future. Various exchangeable accessories are available for resection, dissection, tunneling, hemostasis, treatment of stenosis and closure of defects, including dedicated suturing devices. Multiple arm flexible devices controlled via robotic platforms for complex intraluminal and transmural endoscopic procedures require further improvement.
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spelling pubmed-52947162017-02-08 Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements Kurniawan, Niehls Keuchel, Martin Comput Struct Biotechnol J Short Survey Flexible gastro-intestinal (GI) endoscopy is an integral diagnostic and therapeutic tool in clinical gastroenterology. High quality standards for safety, patients' comfort, and efficiency have already been achieved. Clinical challenges and technical approaches are discussed in this short review. Image enhanced endoscopy for further characterization of mucosal and vascular patterns includes dye-spray or virtual chromoendoscopy. For confocal laser endoscopy, endocytoscopy, and autofluorescence clinical value has not yet been finally evaluated. An extended viewing field provided by additional cameras in new endoscopes can augment detection of polyps behind folds. Attachable caps, flaps, or balloons can be used to flatten colonic folds for better visualization and stable position. Variable stiffness endoscopes, radiation-free visualization of endoscope position, and different overtube devices help reducing painful loop formation in clinical routine. Computer assisted and super flexible self-propelled colonoscopes for painless sedation-free endoscopy need further research. Single-use devices might minimize the risk of infection transmission in the future. Various exchangeable accessories are available for resection, dissection, tunneling, hemostasis, treatment of stenosis and closure of defects, including dedicated suturing devices. Multiple arm flexible devices controlled via robotic platforms for complex intraluminal and transmural endoscopic procedures require further improvement. Research Network of Computational and Structural Biotechnology 2017-01-18 /pmc/articles/PMC5294716/ /pubmed/28179979 http://dx.doi.org/10.1016/j.csbj.2017.01.004 Text en © 2017 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Short Survey
Kurniawan, Niehls
Keuchel, Martin
Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements
title Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements
title_full Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements
title_fullStr Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements
title_full_unstemmed Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements
title_short Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements
title_sort flexible gastro-intestinal endoscopy — clinical challenges and technical achievements
topic Short Survey
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294716/
https://www.ncbi.nlm.nih.gov/pubmed/28179979
http://dx.doi.org/10.1016/j.csbj.2017.01.004
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