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Colorectal Case 10

Dr. Supakij Khomvilai
Hospital of Chulalongkorn University, Thailand

Disclaimer:

NBI™ and TXI™ technologies are not intended to replace histopathological sampling as a means of diagnosis​

The positions and statements made herein by Dr. Supakij Khomvilai are based on Dr. Supakij Khomvilai’s experiences, thoughts and opinions. As with any product, results may vary, and the techniques, instruments, and settings can vary from facility to facility. The content hereof should not be considered as a substitute for carefully reading all applicable labeling, including the Instructions for Use. Please thoroughly review the relevant user manual(s) for instructions, risks, warnings, and cautions. Techniques, instruments, and setting can vary from facility to facility. It is the clinician’s decision and responsibility in each clinical situation to decide which products, modes, medications, applications, and settings to use.​

The EVIS X1™ endoscopy system is not designed for cardiac applications. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. Improper use of endoscopes may result in patient injury, infection, bleeding, and/or perforation. Complete indications, contraindications, warnings, and cautions are available in the Instructions for Use (IFU)​

1) data on file with Olympus (DC00489968)​

2) data on file with Olympus (DC00567392)

Procedure Information


Scope:CF-EZ1500DL

Case Findings:Colonic polyp (Tubular adenoma)

Patient information:63 years old, Male

Medical history:Screening for Colorectal cancer

1. White light observation

Laterally spreading lesion can be detected under white light observation but sometimes the margin is not clearly visible.


Enhancement : A8
NBI Mode : NA
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

2. TXI™ technology observation

White light with TXI™ technology Mode 2 enhances texture detail without altering color1, revealing more lesion details, as seen in this image. The margin of the lesion can easily be seen.

Enhancement : A8
NBI Mode : NA
TXI Mode : 2
RDI Mode : NA
BAI-MAC : On

3. NBI™ technology Observation

NBI™ technology observation supported NICE type 2 histology prediction. EDOF (extended depth of field) technology colonoscope can help endoscopists get in focus details of whole lesion quickly2.


Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

4. NBI™ technology Observation

EDOF technology in the colonoscope helps endoscopists obtain a fully in-focus image of the entire lesion quickly. NICE Type 2 features can be observed clearly without the need for magnification.

Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

5. NBI™ technology with Near Focus

Close observation with NBI™ technology and near focus confirmed details of NICE type 2.

Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

6. NBI™ technology with Near Focus

New generation of EDOF technology colonoscope with EVIS X1 processor can capture the picture easily.

Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

7. NBI™ technology with Near Focus

Details of NICE type 2 at another edge of lesion.

Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

8. Indigo carmine spray

Indigo carmine dye spray supports visualizing the margin of lesion.

Enhancement : A8
NBI Mode : NA
TXI Mode : 2
RDI Mode : NA
BAI-MAC : On

9. NBI™ technology with Indigo carmine spray

NBI™ technology with Indigo carmine dye spray showed more details by enhanced surface pattern.

Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

10. NBI™ technology, Indigo carmine & Near Focus

Close observation by near focus supports detailed inspection of surface details.


Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

11. NBI™ technology, Indigo carmine & Near Focus

Details of NICE type 2 can be seen.


Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

12. NBI™ technology, Indigo carmine & Near Focus

Endoscopic histology prediction can be made of tubular adenoma with confidence.

Enhancement : B8
NBI Mode : 3
TXI Mode : NA
RDI Mode : NA
BAI-MAC : On

* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer

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