Advanced endoscopic technologies

The use of endoscopy for diagnosing and treating ailments of the alimentary tract has evolved steadily over the past few decades, with tremendous growth and innovation in the past few years. Initially, endoscopy relied on rigid telescopes, direct visualization, and dangerously exothermic sources of illumination. The introduction of fiber optics, charge-coupled-device cameras, and increasingly efficient light sources has enabled researchers to investigate areas of the human gastrointestinal tract through flexible endoscopy not previously thought to be reachable without formal surgical exploration. The more recent advances in scope platforms, devices, and techniques have allowed researchers to push the envelope of endoscopic diagnostics and therapeutics to greater heights. Specific new platforms include ColonoSight and mother–daughter endoscopes such as the ShapeLock TransPort and the SpyGlass direct visualization system. Specific devices include the EndoCinch suturing system, the full-thickness Plicator procedure, Esophyx, the Stretta system, and the HALO360 system. Specific new techniques include small-caliber endoscopy, endoscopic mucosal and submucosal resection, and natural orifice translumenal endoscopic surgery (NOTES). This article describes the most relevant recent advances in endoscopic innovation with regard to platform design, devices, and techniques anticipated to serve as the foundation for further research and design for developing generations of endoscopic technologies to come.

[1]  J. Hunter,et al.  Transoral, flexible endoscopic suturing for treatment of GERD: a multicenter trial. , 2001, Gastrointestinal endoscopy.

[2]  M. Holzman,et al.  Long-term follow-up study of the Stretta procedure for the treatment of gastroesophageal reflux disease , 2004, Surgical Endoscopy And Other Interventional Techniques.

[3]  William O Richards,et al.  Paradigm Shift in the Management of Gastroesophageal Reflux Disease , 2003, Annals of surgery.

[4]  G. Triadafilopoulos.  Changes in GERD symptom scores correlate with improvement in esophageal acid exposure after the Stretta procedure , 2004, Surgical Endoscopy And Other Interventional Techniques.

[5]  Z. Fireman,et al.  Major Advances in Colonoscopic Technology: The ColonoSight®, a Pull-Power Assisted Disposable, Non Fiber-Optic Colonoscope , 2004 .

[6]  W. Melvin,et al.  Delivery of radiofrequency energy to the lower esophageal sphincter improves symptoms of gastroesophageal reflux. , 2004, Surgery.

[7]  S. Lo,et al.  Endoscopic full-thickness plication for the treatment of GERD: a multicenter trial. , 2004, Gastrointestinal endoscopy.

[8]  D. Pleskow,et al.  The Plicator Procedure for the Treatment of GERD: 12-Month Multicenter Results , 2005 .

[9]  S. Lo,et al.  Endoscopic full-thickness plication for the treatment of GERD: 12-month follow-up for the North American open-label trial. , 2005, Gastrointestinal endoscopy.

[10]  Douglas K Rex,et al.  Insertability and Safety of a Shape-Locking Device for Colonoscopy , 2005, The American Journal of Gastroenterology.

[11]  C. D. Smith,et al.  Thin-layer ablation of human esophageal epithelium using a bipolar radiofrequency balloon device , 2005, Surgical Endoscopy And Other Interventional Techniques.

[12]  William Spaulding,et al.  Initial Application of the ShapeLock™ Endoscopic Guide for Small Bowel Enteroscopy , 2005 .

[13]  Y. Kinoshita,et al.  A prospective randomized comparative study on the safety and tolerability of transnasal esophagogastroduodenoscopy. , 2005, Endoscopy.

[14]  K. Caca,et al.  Long term failure of endoscopic gastroplication (EndoCinch) , 2005, Gut.

[15]  G. Triadafilopoulos,et al.  Endoscopic antireflux therapy: the Stretta procedure. , 2005, Thoracic surgery clinics.

[16]  The ShapeLock™ Endoscopic Guide Facilitates Successful Colonoscopies After Previously Failed Attempts in Difficult Cases , 2005 .

[17]  D. Rattner,et al.  ASGE/SAGES Working Group on Natural Orifice Translumenal Endoscopic Surgery , 2006, Surgical Endoscopy And Other Interventional Techniques.

[18]  Paul Swain,et al.  New Measurement Methods and a Randomized Comparison of Force Transmission Using Flexible Endoscopes and Instruments Before and After the Application of ShapeLock™ Technology , 2005 .

[19]  Curative endoscopic resection of early esophageal adenocarcinomas (Barrett's cancer). , 2005 .

[20]  Wolfram Lamadé,et al.  Transgastric surgery in the abdomen: the dawn of a new era? , 2005, Gastrointestinal endoscopy.

[21]  R. Sampliner.  The better burn. , 2005, Gastrointestinal endoscopy.

[22]  N. Soehendra,et al.  Endoscopic mucosal resection of early esophageal squamous cell cancer using the Duette mucosectomy kit , 2006, Endoscopy.

[23]  Complete Barrett’s Eradication Endoscopic Mucosal Resection As a Treatment for High Grade Dysplasia Or Intramucosal Adenocarcinoma Arising from Barrett’s Epithelium: A Viable Alternative to Esophagectomy , 2006 .

[24]  K Sumiyama,et al.  A novel double-channel therapeutic endoscope ("R-scope") facilitates endoscopic submucosal dissection of superficial gastric neoplasms. , 2006, Endoscopy.

[25]  W. Melvin,et al.  Changing attitudes toward endolumenal therapy , 2007, Surgical Endoscopy.

[26]  J. Reynolds,et al.  Comparison of Transesophageal Endoscopic Plication (TEP) with Laparoscopic Nissen Fundoplication (LNF) in the Treatment of Uncomplicated Reflux Disease , 2006, The American Journal of Gastroenterology.

[27]  P. Fockens,et al.  Circumferential Balloon-Based Radiofrequency Ablation of Barrett's Esophagus in Patients with Low-Grade Dysplasia Or High-Grade Dysplasia with and Without a Prior Endoscopic Resection Using the HALO360 Ablation System , 2006 .

[28]  Accuracy and Degree of Interobserver Agreement of Small-Caliber Endoscope in Screening for Esophageal Varices , 2006 .

[29]  B. Jobe,et al.  Unsedated Small-Caliber Upper Endoscopy: An Emerging Diagnostic and Therapeutic Technology , 2006, Surgical innovation.

[30]  M. F. McGee,et al.  A Primer on Natural Orifice Transluminal Endoscopic Surgery: Building a New Paradigm , 2006, Surgical innovation.

[31]  P. Lin,et al.  Endoscopic submucosal dissection for the treatment of intraluminal gastric subepithelial tumors originating from the muscularis propria layer , 2006, Endoscopy.

[32]  P. Schauer,et al.  Treatment of refractory gastroesophageal reflux disease with radiofrequency energy (Stretta) in patients after Roux-en-Y gastric bypass , 2006, Surgical Endoscopy And Other Interventional Techniques.

[33]  Z. Fireman,et al.  The colonosight®, a new colonoscope with disposable capabilities, no fiber optics and a pull-power assisted engine leads to major advances in colonoscopic technology , 2006 .

[34]  Circumferential Balloon-Based Radiofrequency Ablation of Barrett’s Esophagus Using the HALO 360 Ablation System Preserves the Inner Diameter of the Esophagus and Prevents Subsequent Narrowing and Compliance Reduction , 2006 .

[35]  J. Himpens,et al.  Nouvelle technique du traitement par voie endoscopique du reflux gastro-Œsophagien : La fundoplicature endoluminale , 2006 .

[36]  Y. Joo,et al.  Sedation-Free Colonoscopy Using an Upper Endoscope Is Tolerable and Effective in Patients with Low Body Mass Index: A Prospective Randomized Study , 2006, The American Journal of Gastroenterology.

[37]  T. Ponchon,et al.  Endoscopic submucosal dissection (ESD) of early neoplastic gastric lesions using a new double-channel endoscope (the ”R-scope”) , 2006, Endoscopy.

[38]  J. Hunter,et al.  Office-Based Unsedated Small-Caliber Endoscopy Is Equivalent to Conventional Sedated Endoscopy in Screening and Surveillance for Barrett's Esophagus: A Randomized and Blinded Comparison , 2006, The American Journal of Gastroenterology.

[39]  Screening endoscopy: cost-effective? , 2006, Journal of the American College of Surgeons.

[40]  K. Chayama,et al.  Endoscopic submucosal dissection for residual/local recurrence of early gastric cancer after endoscopic mucosal resection , 2006, Endoscopy.

[41]  T. Yoshino,et al.  Endoscopic submucosal dissection for early gastric cancer: results and degrees of technical difficulty as well as success , 2006, Endoscopy.

[42]  Subhas Banerjee,et al.  CT colonography for colon cancer screening. , 2006, Gastrointestinal endoscopy.

[43]  A. Radu,et al.  Extended endoscopic mucosal resection in the esophagus and hypopharynx: a new rigid device , 2006, European Archives of Oto-Rhino-Laryngology.

[44]  P. Deprez,et al.  Endoscopic removal or ablation of oesophageal and gastric superficial tumours. , 2006, Acta gastro-enterologica Belgica.

[45]  Circumferential RF Ablation for Non-Dysplastic Barrett's Esophagus (NDBE) Using the HALO360 Ablation System (AIM Trial): One-Year Follow-Up of 100 Patients , 2006 .

[46]  Kenneth J. Chang,et al.  Endoscopic full-thickness plication for the treatment of gastroesophageal reflux disease: A randomized, sham-controlled trial. , 2006, Gastroenterology.

[47]  C. Thompson,et al.  Endoscopic Evaluation of the Defunctionalized Stomach Using Shapelock Technology , 2006 .

[48]  Endoscopic submucosal dissection (ESD) section: An overview of articles in this issue , 2006 .

[49]  M. Camilleri,et al.  Gastroparesis: Clinical Update , 2006, The American Journal of Gastroenterology.

[50]  H. Gooszen,et al.  Endoscopic gastroplication for the treatment of gastro-oesophageal reflux disease: a randomised, sham-controlled trial , 2006, Gut.

[51]  L. Swanstrom,et al.  Development of a new access device for transgastric surgery , 2005, Journal of Gastrointestinal Surgery.

[52]  今川 敦.  Endoscopic submucosal dissection for early gastric cancer : results and degrees of technical difficulty as well as success , 2009 .

[53]  R. Soetikno,et al.  Endoscopic submucosal dissection of early gastric cancer , 2006, Journal of Gastroenterology.