IMMAGINA... il futuro è già qui

Le tecnologie contenute nei sistemi endoscopici EVIS EXERA III, EVIS LUCERA ELITE ed EVIS X1 ti aiutano a realizzare oggi il futuro dell'endoscopia, con vantaggi tangibili sia per il personale che per i pazienti. Scopri qui in che modo le tecnologie Olympus sono in grado di elevare lo standard dell'endoscopia nel tuo reparto e i numerosi studi che hanno attestato i vantaggi delle innovative soluzioni endoscopiche Olympus.

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Un unico sistema: EVIS X1

Il futuro dell'endoscopia è già realtà

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Tecnologie

Gli attuali sistemi endoscopici Olympus contengono numerose tecnologie innovative, quali NBI (Narrow Band Imaging), Dual Focus e Responsive Insertion Technology (RIT). Numerosi studi clinici hanno dimostrato che queste tecnologie migliorano la qualità diagnostica e terapeutica, permettono di risparmiare risorse e contribuiscono a garantire un maggiore comfort ai pazienti.

Narrow Band Imaging (NBI)

Una nuova gamma di possibilità diagnostiche

  • Migliora la visibilità dei vasi sanguigni e delle strutture della mucosa
  • Facilita l'osservazione dei tumori che di norma aggregano i vasi sanguigni
  • Utilizza solo le lunghezze d'onda assorbite dall'emoglobina, per il massimo contrasto
  • Tecnologia optical image disponibile con il solo tocco di un pulsante

Dual Focus

Un nuovo livello di visualizzazione

  • Tecnologia ottica a due stadi per un'osservazione precisa delle superfici mucosali
  • Facile da usare con la semplice pressione di un pulsante, nessuna necessità di regolare la messa a fuoco
  • Diagnosi avanzata racchiusa in un endoscopio tradizionale

ScopeGuide

Colonscopia guidata

  • Mostra un'accurata ricostruzione 3D della posizione e della configurazione di un colonscopio insieme all'immagine endoscopica
  • Facilita la navigazione attraverso il colon
  • Aiuta a identificare i loop e a rimuoverli
  • Utile per medici principianti ed esperti

Responsive Insertion Technology (RIT)

Maggiore efficacia procedurale

  • Tecnologie proprietarie Olympus che migliorano la manovrabilità e la gestione del colonscopio
  • Migliora la risposta dell'endoscopio durante le manovre di coppia e di spinta
  • Evita il blocco durante il passaggio delle flessure
  • Facilita un migliore raddrizzamento dell'endoscopio

Download

Sistema per endoscopia EVIS X1 con IA (PDF, 37118 KB)

Brochure ADR comprovata (PDF, 3757 KB)

Cosa sapere sul tasso di rilevamento degli adenomi

Studi clinici

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  4. 4.The Role of Endoscopy in Inflammatory Bowel Disease American Society for Gastrointestinal Endoscopy Standards of Practice Committee et al. Gastrointest Endosc. 2015 May;81(5):1101-21.e1-13. doi: 10.1016/j. ie.2014.10.030. Epub 2015 Mar 20.
  5. 5.The Seattle Protocol Does Not More Reliably Predict the Detection of Cancer at the Time of Esophagectomy Than a Less Intensive Surveillance Protocol Kariv R, Plesec TP et al. Clin Gastroenterol Hepatol. 2009 Jun;7(6):653-8; quiz 606. doi: 10.1016/j. cgh.2008.11.024. Epub 2008 Dec 13.
  6. 6.Random Biopsies Taken During Colonoscopic Surveillance of Patients with Longstanding Ulcerative Colitis: Low Yield and Absence of Clinical Consequences van den Broek FJ, Stokkers PC et al. Am J Gastroenterol. 2014 May;109(5):715-22. doi: 10.1038/ajg.2011.93. Epub 2011 Mar 22.
  7. 7.Validation of a Simple Classification System for Endoscopic Diagnosis of Small Colorectal Polyps Using Narrow-Band Imaging Hewett DG, Kaltenbach T et al. Gastroenterology. 2012 Sep;143(3):599-607.e1. doi:
    10.1053/j.gastro.2012.05.006. Epub 2012 May 15.
  8. 8.Endoscopic Prediction of Deep Submucosal Invasive Carcinoma: Validation of the Narrow-Band Imaging International Colorectal Endoscopic (NICE) Classification Hayashi N, Tanaka S et al. Gastrointest Endosc. 2013 Oct;78(4):625-32. doi: 10.1016/j.gie.2013.04.185. Epub 2013 Jul 30.
  9. 9.Narrow-Band Imaging with Dual Focus Magnification in Differentiating Colorectal Neoplasia Singh R, Jayanna M et al. Dig Endosc. 2013 May;25 Suppl 2:16-20. doi: 10.1111/den.12075.
  10. 10.Standard Endoscopy with Random Biopsies Versus Narrow Band Imaging Targeted Biopsies in Barrett‘s Oesophagus: A Prospective, International, Randomised Controlled Trial Sharma P, Hawes RH et al. Gut. 2013 Jan;62(1):15-21. doi: 10.1136/gutjnl-2011-300962. Epub 2012 Feb 7.
  11. 11.Advanced Imaging Technologies Increase Detection of Dysplasia and Neoplasia in Patients with Barrett‘s Esophagus: A Meta-Analysis and Systematic Review Qumseya BJ, Wang H et al. Clin Gastroenterol Hepatol. 2013 Dec;11(12):1562-70.e1-2. doi: 10.1016/j. cgh.2013.06.017. Epub 2013 Jul 12.
  12. 12.White-Light or Narrow-Band Imaging Colonoscopy in Surveillance of Ulcerative Colitis: A Prospective Multicenter Study Leifeld L, Rogler G et al. Clin Gastroenterol Hepatol. 2015 Oct;13(10):1776-1781.e1. doi: 10.1016/j. cgh.2015.04.172. Epub 2015 May 5.
  13. 13.Narrow Band Imaging with Magnification Endoscopy for Celiac Disease: Results from a Prospective, Single-Center Study De Luca L, Ricciardiello L et al. Diagn Ther Endosc. 2013;2013:580526. doi: 10.1155/2013/580526. Epub 2013 Aug 6.
  14. 14.Adenoma Detection Rate and Risk of Colorectal Cancer and Death van den Broek E, Richard W et al. N Engl J Med. 2014 Apr 3;370(14):1298-306
  15. 15.Improving Measurement of the Adenoma Detection Rate and Adenoma Per Colonoscopy Quality Metric: The Indiana University Experience Kahi CJ, Vemulapalli KC et al. Gastrointest Endosc. 2014 Mar;79(3):448-54.
  16. 16.Impact of Bowel Preparation with Low-Volume (2-Liter) and Intermediate-Volume (3-Liter) Polyethylene Glycol on Colonoscopy Quality: A Prospective Observational Study Cheng CL, Kuo YL et al. Digestion. 2015;92(3):156-64.
  17. 17.Adenoma Detection Rate Is not Influenced by the Timing of Colonoscopy When Performed in Half-Day Blocks Gurudu SR, Ratuapli SK et al. Am J Gastroenterol. 2011 Aug;106(8):1466-71. doi: 10.1038/ajg.2011.125. Epub 2011 Apr 19.
  18. 18.A Patient-Blinded Randomized, Controlled Trial Comparing Air Insufflation, Water Immersion, and Water Exchange During Minimally Sedated Colonoscopy Hsieh YH, Koo M et al. Am J Gastroenterol. 2014 Sep;109(9):1390-400. doi: 10.1038/ajg.2014.126. Epub 2014 Jun 3.
  19. 19.High Definition Colonoscopy vs. Standard Video Endoscopy for the Detection of Colonic Polyps: A Meta-Analysis Subramanian V, Mannath J et al. Endoscopy. 2011 Jun;43(6):499-505. doi: 10.1055/s-0030-1256207. Epub 2011 Feb 28.
  20. 20.Detection of Colorectal Adenoma by Narrow Band Imaging (HQ190) vs. High-Definition White Light Colonoscopy: A Randomized Controlled Trial Leung WK, Lo OS et al. Am J Gastroenterol. 2014 Jun;109(6):855-63. doi: 10.1038/ajg.2014.83. Epub 2014 Apr 22.
  21. 21.Next-Generation Narrow Band Imaging System for Colonic Polyp Detection: A Prospective Multicenter Randomized Trial Horimatsu T, Sano Y et al. Int J Colorectal Dis. 2015 Jul;30(7):947-54. doi: 10.1007/s00384-015-2230-x. Epub 2015 Apr 30.
  22. 22.Narrow Band Imaging to Differentiate Neoplastic and Non-Neoplastic Colorectal Polyps in Real Time: A Meta-Analysis of Diagnostic Operating Characteristics McGill SK, Evangelou E et al. Gut. 2013 Dec;62(12):1704-13. doi: 10.1136/gutjnl-2012-303965. Epub 2013 Jan 7.
  23. 23.Diagnostic Performance of Narrowed Spectrum Endoscopy, Autofluorescence Imaging, and Confocal Laser Endomicroscopy for Optical Diagnosis of Colonic Polyps: A Meta-Analysis Wanders LK, East JE et al. Lancet Oncol. 2013 Dec;14(13):1337-47. doi: 10.1016/S1470-2045(13)70509-6. Epub 2013 Nov 13.
  24. 24.ASGE Technology Committee Systematic Review and Meta-Analysis Assessing the ASGE PIVI Thresholds for Adopting Real-Time Endoscopic Assessment of the Histology of Diminutive Colorectal Polyps ASGE Technology Committee et al. Gastrointest Endosc. 2015 Mar;81(3):502.e1-502.e16. doi:
    10.1016/j.gie.2014.12.022. Epub 2015 Jan 16.
  25. 25.Real-Time Optical Diagnosis for Diminutive Colorectal Polyps Using Narrow-Band Imaging: The VALID Randomised Clinical Trial Kaltenbach T, Rastogi A et al. Gut. 2015 Oct;64(10):1569-77. doi: 10.1136/gutjnl-2014-307742. Epub 2014 Nov 11.
  26. 26.Advanced imaging for detection and differentiation of colorectal neoplasia: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2019 Bisshops et al. Endoscopy 2019; 51: 1155–1179
  27. 27.An Analysis of the Learning Curve to Achieve Competency at Colonoscopy Using the JETS Database Ward ST, Mohammed MA et al. Gut. 2014 Nov;63(11):1746-54. doi: 10.1136/gutjnl-2013-305973. Epub 2014 Jan 27.
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  29. 29.Magnetic Endoscopic Imaging Versus Standard Colonoscopy in a Routine Colonoscopy Setting: A Randomized, Controlled Trial. Holme Ö, Höie O et al. Gastrointest Endosc. 2011 Jun;73(6):1215-22. doi: 10.1016/j.gie.2011.01.054. Epub 2011 Apr 8.
  30. 30.Magnetic Endoscopic Imaging Versus Standard Colonoscopy: Meta-Analysis of Randomized Controlled Trials Chen Y, Duan YT et al. World J Gastroenterol. 2013 Nov 7;19(41):7197-204. doi: 10.3748/wjg.v19.i41.7197.
  31. 31.Magnetic Endoscopic Imaging as an Adjuvant to Elective Colonoscopy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Mark-Christensen A et al. Endoscopy. 2015 Mar;47(3):251-61. doi: 10.1055/s-0034-1390767. Epub 2014 Dec 18.
  32. 32.Does “Responsive Insertion Technology” Improve Practice of Colonoscopy? Results of a Randomized Study Cuesta R, Sola-Vera J et al. Scand J Gastroenterol. 2014 Mar;49(3):355-61. doi:
    10.3109/00365521.2013.871576. Epub 2014 Jan 13.
  33. 33.Conscious Sedation and Analgesia in Colonoscopy [...] Khajavi M, Emami A et al. Anesth Pain Med. 2013 Summer;3(1):208-13. doi: 10.5812/aapm.9653. Epub 2013 Jul 1.
  34. 34.Safety Analysis of Endoscopist-Directed [...] Sieg A; bng-Study-Group et al. Sieg A; bng-Study-Group et al.
  35. 35.Position Change During Colonoscope Withdrawal Increases Polyp and Adenoma Detection in the Right but not in the Left Side of the Colon: Results of a Randomized Controlled Trial Ball AJ, Johal SS et al. Gastrointest Endosc. 2015 Sep;82(3):488-94. doi: 10.1016/j.gie.2015.01.035. Epub 2015 Apr 22.
  36. 36.Variable Stiffness Colonoscope Versus Regular Adult Colonoscope: Meta-Analysis of Randomized Controlled Trials Othman MO, Bradley AG et al. Endoscopy. 2009 Jan;41(1):17-24. doi: 10.1055/s-0028-1103488. Epub 2009 Jan 21.
  37. 37.[...] Sedation for Colonoscopy with a New Ultrathin or a Standard Endoscope: A Prospective Randomized Controlled Study Töx U, Schumacher B et al. Endoscopy. 2013 Jun;45(6):439-44. doi: 10.1055/s-0032-1326270. Epub 2013 Mar 6.
  38. 38.Long-Term Colorectal-Cancer Incidence and Mortality after Lower Endoscopy Nishihara R, Wu K et al. N Engl J Med. 2013 Sep 19;369(12):1095-105. doi: 10.1056/NEJMoa1301969
  39. 39.The Comparative Cost-Effectiveness of Colorectal Cancer Screening Using Faecal Immunochemical Test Versus Colonoscopy Wong MC, Ching JY et al. Sci Rep. 2015 Sep 4;5:13568. doi: 10.1038/srep13568.
  40. 40.Trends in Adenoma Detection Rates During the First 10 Years of the German Screening Colonoscopy Program Brenner H, Altenhofen L et al. Gastroenterology. 2015 Aug;149(2):356-66.e1. doi:
    10.1053/j.gastro.2015.04.012. Epub 2015 Apr 22.
  41. 41.Global Epidemiology of Barrett‘s Esophagus https://www.ncbi.nlm.nih.gov/pubmed/21309677 Expert Rev Gastroenterol Hepatol. 2011 Feb;5(1):123-30. doi: 10.1586/egh.10.82.
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  43. 43.Preliminary Feasibility Study Using a Novel Narrow-Band Imaging System with Dual Focus Magnification Capability in Barrett‘s Esophagus: Is the Time Ripe to Abandon Random Biopsies? Singh R, Shahzad MA et al. Dig Endosc. 2013 May;25 Suppl 2:151-6. doi: 10.1111/den.12106.
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