Case Report on Quality in Gastrointestinal Endoscopy


Full spectrum endoscopy for an easy and adequate visualization of Vater’s papilla

Ioannis S. Papanikolaou, Georgios Tziatzios, Paraskevas Gkolfakis, Konstantinos Triantafyllou

Abstract

Patients with classical familial adenomatous polyposis (FAP) are at high risk for developing colorectal cancer (CRC) and duodenal adenomas. Current guidelines recommend to start duodenal screening at the age of 25–30 years and standard upper gastrointestinal (GI) endoscopy is considered inadequate for an optimal visualization of the duodenum. We used the Full-Spectrum Endoscopy® (FUSE®; EndoChoice Inc., Atlanta, GA, USA) esophagogastroduodenoscope (FUSE-EGD) for an upper GI screening procedure of a 20-year-old Caucasian male with classical FAP. The pioneer design of the FUSE-EGD allowed an easy and accurate examination of the ampulla with standard scope manipulation maneuvers.

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