Highlights: Case Study Article, Video a Window into Next-generation Duodenoscope
Adoption of new technology, such as Olympus鈥 duodenoscope, for does not present a substantial learning curve to Muhammad K. Hasan, MD, FACG, medical director for the Center for Interventional Endoscopy at AdventHealth in Orlando, FL. He used the scope, designed with a disposable distal endcap and features intended to improve visualization, during two clinical cases described in 鈥淒rivers Ed: Behind the Wheel of a Next-generation Duodenoscope鈥 (鈥淎rticle鈥) (see instructions for downloading this free article at the end of this post).
Unique anatomy, improved view
Dr. Hasan is compared to a driving instructor in the paper, as he carefully and meticulously navigates patient anatomy in the first case: an 85-year-old woman with bile duct stones. The case is of interest for two reasons. First, it highlights the unique anatomy of each patient that GI physicians encounter. 鈥淓very papilla behaves differently,鈥 Dr. Hasan remarks during the procedure. 鈥淓very papilla has a different shape.鈥
Muhammad K. Hasan, MD, FACG
The second aspect of interest is how navigating complex anatomy works with the features intended to improve visibility. The provides a 15-degree backward 鈥渆xtra鈥 view, compared to the TJF-Q180V.
Dr. Hasan walks viewers through a sphincterotomy in this case, using the 在线黑料门. The bile duct stone removal demonstrates how balloon dilation 鈥渃an be tricky,鈥 as he puts it, and he also explains his rationale for his balloon size choice.
Cannulation struggles, stent deployment
In the second case, the patient has a diagnosis of pancreatic adenocarcinoma. According to Dr. Hasan, this is another case in which the is beneficial. The square image 鈥済ives me a better-quality image, a superior image as compared to the [TJF-Q180V] scope,鈥 he said.
Dr. Hasan says he often performs a sphincterotomy before deploying metal stents out of 鈥渃oncern for a blocked pancreatic orifice.鈥 Hasan chose to use the 在线黑料门 featuring a hook-and-cross wire pattern, designed so that 鈥渋f you compress the center [of the stent] it will not elongate.鈥 After a successful deployment, he adds, 鈥淚t just spreads like a flower at both ends.鈥
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and watch the case study video by clicking on the link at the bottom of the paper.
在线黑料门Corporation of the Americas and its parents, subsidiaries, affiliates, directors, officers, employees, agents, and representatives (collectively 鈥淥lympus鈥) do not represent to or warrant the accuracy, reliability or applicability of the Article.
Muhammad K. Hasan, MD, FACG, the authoring physician of the presentation described in this article, is a paid consultant to Olympus.
For detailed operating instructions on all devices mentioned in this paper, please be sure to follow the device Instruction Manual that was included with the device when purchased.
Improper use of scope may result in patient injury, bleeding, and/or perforation. For full risk information register for www.olympusconnect.com
在线黑料门is a registered trademark of 在线黑料门Corporation, 在线黑料门 Inc., and/or their affiliates. I Medical devices listed may not be available for sale in all countries.
