Advertisement
Gastrointestinal Endoscopy
Advanced searchSave search
New method Clinical endoscopy| Volume 71, ISSUE 6, P1052-1055, May 2010

A novel endoscopic device for repeated right-side colonic access during colonoscopy (with video)

  • Author Footnotes
    ⁎ These authors contributed equally to the concept, design, and writing of this article and share first authorship.
    Arnulf Ferlitsch
    Footnotes
    ⁎ These authors contributed equally to the concept, design, and writing of this article and share first authorship.
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Gerd R. Silberhumer
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Wayne Noda
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Tudor Birsan
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Devendra Desai
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Ajay Kumar
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Guduru V. Rao
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Aditya Khakar
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Nestor A. Gomez
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Christoph Gasche
    Correspondence
    Reprint requests: Prof. Christoph Gasche, Dept. of Medicine 3, Division of Gastroenterology and Hepatology, Medical University of Vienna
    Affiliations
    Current affiliations: Departments of Medicine 3 (A.F., C.G.), General Surgery (G.S., T.B.), Medical University of Vienna, Vienna, Austria; Minos Medical, Irvine, California (W.N., C.G.); Hinduja Hospital, Mumbai, India (D.D.); Indraprastha Apollo Hospital, New Delhi, India (A.J.); Asian Institute of Gastroenterology, Hyderabad, India (G.R.); Janaki Centre, Kohapur, India (A.K.); Kennedy Hospital, Guayaquil, Ecuador (N.G.)
    Search for articles by this author
  • Author Footnotes
    ⁎ These authors contributed equally to the concept, design, and writing of this article and share first authorship.
DOI:https://doi.org/10.1016/j.gie.2009.12.059
A novel endoscopic device for repeated right-side colonic access during colonoscopy (with video)
Previous ArticleCarbon dioxide insufflation is useful for obtaining clear images of the bile duct during peroral cholangioscopy (with video)
Next ArticleEndoscopic submucosal dissection by using a flexible Maryland dissector: a randomized, controlled, porcine study (with videos)

      Background

      Megachannel is a newly developed colonic access system allowing rapid and multiple passes of the colonoscope to the right side of the colon.

      Objective

      The aim of this study was to evaluate the safety and clinical feasibility of placing a 100 cm Megachannel prototype in the right side of the colon.

      Setting

      Six centers, international, both surgeons and gastroenterologists performing endoscopy.

      Design and Intervention

      Patients scheduled for colonoscopy with suspected right-side colonic polypoid lesions were included. The prototype was loaded onto a 160 cm lower GI endoscope and introduced via colonoscopic guidance.

      Main Outcome Measurement

      The ability to place this device in the right side of the colon.

      Results

      The Megachannel prototype was introduced in 41 patients (19 female, mean age 54 years) undergoing colonoscopy. The cecum was reached in 27 cases (66%) within 18 minutes (range, 3-35 minutes) and with 73 cm (range, 40-100 cm) of the device being inserted into the colon. Mild tissue bruises and mild pain were observed in 5 and 3 patients, respectively. In 14 patients, the device assisted the removal of multiple polyps (2-12) as tissue was repeatedly retrieved through the channel. The device also allowed delivery of an endoscopic US scope or suction caps to the right side of the colon.

      Limitations

      Prototype performance may differ from the actual product (80 cm in length, redesigned introducer plugs). Small number of patients, difficult in diverticular disease.

      Conclusions

      This newly developed colonic access system can be safely placed in the right side of the colon and is useful for a variety of advanced procedures that require repeated insertion of the colonoscope or delivery of bulky instruments. (Clinical trial registration number: NCT00987896.)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Silberhumer G.R.
        • Birsan T.
        • Noda W.
        • et al.
        Design and instrumentation of new devices for performing appendectomy at colonoscopy (with video).
        Gastrointest Endosc. 2008; 68: 139-145
        View in Article
        • Petrini J.L.
        • Egan J.V.
        • Hahn W.V.
        Unsedated colonoscopy: patient characteristics and satisfaction in a community-based endoscopy unit.
        Gastrointest Endosc. 2009; 69: 567-572
        View in Article

      Article info

      Publication history

      Accepted: December 23, 2009
      Received: October 6, 2009

      Footnotes

      DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.

      Identification

      DOI: https://doi.org/10.1016/j.gie.2009.12.059

      Copyright

      © 2010 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX