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Colorectal Case 11

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)Edward Young, Arvind Rajagopalan, Derrick Tee, Dharshan Sathananthan, Sophie Hoile, Rajvinder Singh, Texture and Color Enhancement Imaging Improves Colonic Adenoma Detection: A Multicenter Randomized Controlled Trial, Gastroenterology, 2023, https://doi.org/10.1053/j.gastro.2023.10.008
2) data on file with Olympus (DC00489968)

Procedure Information


Scope:CF-EZ1500DL

Case Findings:Colonic polyp (Tubular adenoma)

Patient information:59 years old, Female

Medical history:Bowel Habit Change

1. TXI™ Technology

White light imaging with TXI™ Mode 2 enhances lesion detection, as demonstrated in this colorectal case1. Flat lesions, which may be difficult to identify, can be detected by observing disrupted vascular patterns. The increased brightness and enhanced structural detail provided by TXI™ Mode 2 help endoscopists more easily identify such subtle abnormalities2.

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

2. TXI™ Technology

Close observation with TXI™ technology mode 2 supports visualization of lesion margin2.



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

3. NBI™ Technology

NBI™ technology showed NICE type 2 and endoscopic diagnosis was tubular adenoma.

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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