The monitoring and prognosis of patients with familial polyposis adenomatous rests on analysis of the transitional mucosa at the anal margin and especially on the tracking, characterization and resection of lesions of dysplasia type of high grade at the duodenal level, after total proctocolectomy. Currently, endoscopes with axial or lateral vision are used. The FUSE technology allows the simplification or even the improvement of patient surveillance with a 245° vision (versus150° in case of classical gastroscope). The use of a second screen to enlarge the field of view may allow both analysis of duodenum and the main and accessory papilla with one single endoscope and to decrease the number of omitted lesions .
Study Type
OBSERVATIONAL
Enrollment
73
All patients undergoing a diagnostic gastroscopy are eligible. Using the FUSE endoscope with side screen, the duodenal and accessory papilla are monitored. Data are collected by each operator. Clinical examination of patients is performed before they leave the centre.
Institut Paoli Calmettes
Marseille, Bouches du Rhone, France
Efficacy
Visualization of minor and major papilla Absence of necessity to change endoscope for viewing and / or for biopsies
Time frame: 1 day
Number of patient with treatment-related serious adverse events
Evaluated serious advers events are mainly perforation, severe bleeding, acute pancreatitis
Time frame: 5 day
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