Endoscopy

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Art meets science

The future will be aesthetic or, put another way, Art meets Science. With this motto, the 43rd Congress of the German Society for Endoscopy and Imaging Procedures e.V., jointly held in Munich with six other specialist associations, demonstrated that aesthetic means the brilliance of images generated by the latest generation of X-ray, CT, MRI and ultrasound equipment.

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40 years of CT scanning

Forty years ago an article was published that would change medical practice. In the British Journal of Radiology, English electrical engineer Godfrey N Hounsfield described how he had made a patient’s brain visible non-invasively by evaluating a large number of X-ray images of the skull taken from different directions.

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Endoscopy systems

Olympus has led the field in advancing endoscopic technology. Just when experts and users thought no further optimisation was possible, Olympus placed another major innovation in the marketplace – and the firm has done it again.

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Trail blazing bariatric surgery devices

Major advances in Natural Orifice Transluminal Endoscopic Surgery (NOTES) lead to a tremendous interest in new surgical endoscopes. The advantages of minimally invasive surgery via natural body orifices, such as the mouth, are obvious: less post-operative pain, a minor infection rate, minor incisional hernia, shorter hospitalisation and, finally, better cosmetic results. Karoline Laarmann reports

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Surgical staplers

Mechanical suturing tools are an indispensable part of modern surgery. Gastro-intestinal surgery as well as minimally invasive surgeries, would be unthinkable without this technology, a growing sub-market in an ever-growing industry, possibly driven by the patient’s benefit, writes Holger Zorn.

Combinations advance endoscopic diagnosis and treatment

Endoscopy has advanced dramatically in the past decade with innovative technologies introduced by industry and novel procedures pioneered by physicians. Given a choice among the broad range of new tools, endoscopic surgeons simply want it all -- and are asking for more. During the Medica 2010 Congress, the Innovations in Endoscopy session rang with the word ‘combinations’.

Combining techniques advances endoscopic diagnosis and treatment

Endoscopy has advanced dramatically in the past 10 years with innovative technologies introduced by industry and novel procedures pioneers by physicians. Given a choice among the broad range of new tools and techniques, endoscopic surgeons have decided they want it all. And they are asking for more.

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Colonic stents - buying time for surgery

In 2006, about 307,432 new cases of colorectal cancer arose in the European Union. The rates varied by a factor of two for women and three for men. The lowest rates were in Greece; the highest in Hungary and the Czech Republic. The incidence of colorectal cancer is increasing in Europe, particularly in the south and east, where rates were originally lower than in Western Europe.

Congress presents transvaginal pancreatic resection

Advanced endoscopes have already transformed certain surgical procedures. Thanks to minimally invasive surgery (MIS), such as NOTES (Natural Orifice Translumental Endoscopic Surgery), even bowel resection can be relatively scar-less. Such procedures are entering gastroenterology, as presented at the 40th Congress of the German Society of Endoscopy this March.

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3-D endoscopy for image guided surgery

Segmental liver resections and ablative therapies require accurate and precise tumour localization. Because the peritoneal cavity is subject to deformations caused by respiration and topological changes in the surgical site during an intervention, the transfer of MRT and CT tumour data into an intra-operative setting remains a technical challenge.

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Video Capsule Endoscopy

In 2000, the Israeli firm Given Imaging introduced Video Capsule Endoscopy (VCE), a new technology initially devoted to small bowel examination. Since then, the EndoCapsule from Olympus Japan, MiroCam from IntroMedic Korea and some less advanced devices from China have been introduced as technical competition for some new areas, such as oesophagus or colon.

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Hybrid operating theatres

Basically, a hybrid operating theatre (OT) is a combined operating room containing large imaging equipment, such as MRT and CT, which enables intra-operative diagnostics. If provided for in the hygiene and theatre concept, the hybrid OT can also be used purely as a diagnostics room, or as a classic operating room.

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Journey to the stomach

The journey into the self becomes reality: Siemens Healthcare and Olympus Medical Systems Corporation announce collaborative development of advanced magnetically guided capsule endoscope system for intragastric observation Siemens Healthcare and Olympus Medical Systems Corporation are collaborating on the development of a technology for a magnetically guided capsule endoscope (MGCE) system.

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