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Colorectal Case 8

Dr. Supakij Khomvilai
Hospital of Chulalongkorn University, Thailand
Procedure Information

Scope:CF-EZ1500DL

Case Findings:Colonic polyp (Tubular adenom)

Patient information:53 years old, Male

Medical history:Bowel Habit Change

1. White light observation
White light with TXI mode 2 enhanced contrast of the image but not change the color showed more details of lesion like in this picture. The margin of lesion can easily seen. EDOF colonoscope can get the details of whole lesion.

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

2. NBI observation
NBI showed NICE type 2, EDOF colonoscope with brighter NBI showed all details of whole lesion easier than previous generation.



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

3. NBI with Near Focus
Closed observation by NBI with near focus, we can see more details of NICE type 2 and endoscopic diagnosis was made accurately for tubular adenoma.

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

Overall Comment

New EDOF colonoscope (CF-EZ1500DL) with EVIS X1 system from Olympus is the revolution of colonoscope. Daily practice is easier for endoscopist to make an accurate diagnosis by brighter and sharper 4K image in both white light and NBI. EDOF colonoscope can capture details of whole lesion easily. TXI can help to detect lesion easier than conventional white light and it may change the standard of colonoscope in the future. Not only the image processing is amazing but the handling of EDOF colonoscope are also improved. Adjusted curve of the handle and reposition of programed switch made endoscopist can hold the scope tightly and capture picture or change the feature by programmed switch are easier. Please try these new colonoscope by yourself and you will love this EDOF colonoscope like me.

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

Case 7: Colonic polyp (Well differentiate adenocarcinoma with shallow submucosal invasion)
Dr. Supakij Khomvilai Case 9: Colonic polyp (Sessile Serrated Lesion)
Dr. Supakij Khomvilai
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