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Colorectal Case 9

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)

Procedure Information


Scope:CF-EZ1500DL

Case Findings: Colonic polyp (Sessile Serrated Lesion)

Patient information:55 years old, Female

Medical history:Surveillance after polypectomy

1. 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 mucous coating on the lesion is easily observable.


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

2. TXI™ technology close observation

After cleaning the mucous, details of the lesion can be seen clearly with TXI™ technology mode 2. This lesion can be missed easily. But with the sharp image and enhanced texture detail1 of TXI™ technology visibility of the lesion is improved1.

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

3. TXI™ technology with Near Focus

Close observation by near focus showed details of serrated lesion.

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

4. NBI™ technology observation

NBI™ technology observation supports a NICE type1 prediction.

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

5. NBI™ technology observation with Near Focus

Close observation by NBI™ technology with near focus showed details of NICE type 1 and some open pitt type 2 which suggested histology features of sessile serrated lesion.

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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