Abstract
The aim was to assess the potential of the usage and efficacy of full-spectrum colonoscopy in children. Materials and methods: 22 children (1-17 years) were assessed with a full-spectrum colonoscope (FUSE system). Colorectal polyps were detected and removed in five of them. A new FUSE colonoscope has three cameras and allows a panoramic to 330 ° field of view. Results. With this full-spectrum colonoscope, endoscopists are able to view difficult- or impossible- to- view areas within the colon (“blind spots”), that allows to improve diagnostics of colorectal lesions. FUSE system helps in navigation within the colon. FUSE colonoscopy appears to be safe and efficient diagnostic and therapeutic method in children.
Highlights
Full Spectrum Endoscopy (FUSE) system helps in navigation within the colon
Petechial hemorrhaging and microabscesses in the colon mucosa in а patient with Crohns disease
Summary
With this full-spectrum colonoscope, endoscopists are able to view difficult- or impossible- to- view areas within the colon (“blind spots”), that allows to improve diagnostics of colorectal lesions. В отношении колоноскопии это позволяет проводить осмотр таких трудно доступных или недоступных для обзора областей, как проксимальная сторона складок и изгибов толстой кишки, а также область баугиниевой заслонки [4]. В недавнем мультицентровом рандомизированном тандемном исследовании выявлено, что аdenoma miss rate и аdenoma miss rate per patient, а также эти показатели для поражений ≤ 5 мм и находящихся в восходящей ободочной кишке были достоверно экспериментальная и клиническая гастроэнтерология | выпуск 164 | No 4 2019 клинические наблюдения | clinical case ниже при FUSE колоноскопии по сравнению с «традиционной» колоноскопией [8]. Что применение FUSE колоноскопии экономически более выгодно по сравнению с «традиционной» колоноскопией для скрининга и наблюдения рака толстой кишки [4]. Цель нашей работы – выявить возможность применения и эффективность панорамной колоноскопии у детей
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