Endoscopy 2019; 51(04): S101
DOI: 10.1055/s-0039-1681468
ESGE Days 2019 oral presentations
Saturday, April 6, 2019 11:00 – 13:00: Colonic polyps: detection Club D
Georg Thieme Verlag KG Stuttgart · New York

COLONOSCOPY WITH THE SINGLE USE ENDOSCOPE INVENDOSCOPE SC210 IN ROUTINE CLINICAL PRACTICE

F Straulino
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
,
A Genthner
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
,
K Ralf
2   Innere Medizin II, Helios Dr. Horst Schmidt Kliniken, Wiesbaden, Germany
,
A Eickhoff
1   Medizinische Klinik II, Klinikum Hanau, Hanau, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

Healthcare-associated infections linked to re-useable endoscopes was a matter of controversy in the past. In 2008 Invendo Medical presented the first single use endoscope for colonoscopy. With the Invendoscope SC210 there is now a further development with high definition available. Instead of the classic „wheel and wire“ mechanism this 170 cm colonoscope works with an electro-hydraulic controlled deflecting tip which allows a 180 ° bending in all directions. A joystick-like handheld control plate is used to navigate the tip. Standard endoscopic devices for interventions can be used over the 3.1 mm working channel. This multicenter study assessed the safety and efficacy of this new endoscope in routine clinical practice.

Methods:

A total of 40 patients with indication for a colonoscopy were examined with the Invendoscope SC210 using carbon dioxide insufflation and water instillation on demand. The rate of successful intubation of the coecum and the required time was documented. For the registration of potential periinterventional complications an interview four weeks after colonscopy took place.

Results:

23 men and 17 women were examined with an average age of 65 (± 5.4) years. 35 patients received a sedation with propofol. The coecum was reached in 38 patients (coecal intubation rate of 95%), despite looping of the endoscope in 28 patients. The mediane time to reach the coecum was 14,23 min (± 7.2 min). The withdrawal time was 10,2 min. In 12 patients (30%) polyps were resected by snare or biopsy forceps. 3 patients (7,5%) complained about abdominal pain after the examination and in one patient a self limiting hemorrhage from the sigma occurred. No major complication occured.

Conclusions:

The sterile single use endoscope Invendoscope SC210 showed a good coecal intubation rate in routine clinical practice with safe resection of polyps as well. For a further evaluation of the effectivity comparative studies with standard colonoscopy are warranted.