The Scope Autumn 2023


The Scope - Endoscopy Newsletter

Autumn 2023

Dr Sergio Coda describes his experience of using PuraStat to manage Radiation Proctopathy

In the UK, a total of 30,000 people are treated with radiotherapy annually. One of the most common side effects of radiotherapy is rectal bleeding, caused by radiation proctopathy (RP). Radiation proctopathy, as a consequence of the effect of radiation in the rectum, can hugely impact a patient’s quality of life. In this video, Dr Sergio Coda describes his experience of using PuraStat to manage Radiation Proctopathy.

PuraStat is a synthetic peptide hydrogel that when in contact with physiological fluids such as blood, self-assembles creating a scaffold which mimics the human extracellular matrix and stops the bleeding. PuraStat is used in a wide range of applications to manage active bleeding and prevent delayed bleeding.

Join our partner 3-D Matrix at UEG Week in Copenhagen (virtual attendees welcome) to discuss the rollout of a clinician initiated registry documenting the value of PuraStat in the treatment of RP.

Please contact us for more information.

The future of endoscopy training

“Mikoto” – The Gold Standard Colonoscopy Training Simulator
A complex training platform was recently developed by Fuji et al. (1) based on a hybrid colonoscopy simulator. The system called “Mikoto” is an advanced mechanical trainer utilising motors, which allow the position change of the replicated abdomen. Furthermore, several functions are supported, such as abdominal compression and repositioning of the diaphragm, simulating the deep inspiration. Pressure and optical sensors enable measuring the distensibility of the colon phantom correlated with the potential pain experienced by the patient. This information together with other metrics tracked online is used to evaluate the trainee performance. (2)

The Mikoto is exclusively supplied by Aquilant in the UK through our partners Fujifilm and has the following impressive features:

Realistic colon model
– Soft material with smooth surface
– Realistic fold shape and texture
– Multiple polyps

Self-Learning can be achieved
– Record video for personal review
– Procedure scoring system
– 3 adjustable difficulty settings

The new Mikoto colonoscopy simulator will be demonstrated on the Fujifilm stand during UEG Week in Copenhagen (14-17th October) and at Kings Live – Kings College Hospital, London (9-10th November).

Please contact us for more information.

(1) Finocchiaro, M.; Cortegoso Valdivia, P.; Hernansanz, A.; Marino, N.; Amram, D.; Casals, A.; Menciassi, A.; Marlicz, W.; Ciuti, G.; Koulaouzidis, A. Training Simulators for Gastrointestinal Endoscopy: Current and Future Perspectives. Cancers 2021, 13, 1427
(2) Fujii, M.; Onoyama, T.; Ikebuchi, Y.; Uehara, K.; Koga, A.; Ueki, M.; Isomoto, H. A Novel Humanoid-Robot Simulator for Colonoscopy. Endoscopy 2020
Artificial Lumen – Reproduces the feeling of entering the intestinal tract
Training Playback Mode
Internal Structure

See the unseen

Fujifilm launches premium EUS system to enhance endoscopic ultrasound.
Following their acquisition of Hitachi Diagnostic Imaging back in 2021, Fujifilm is delighted to announce the commercial launch of its premium end EUS system after compatibility between the Arietta 850 FF ENDO and EG-740UT was achieved last year.

The combination of the EG-740UT with the ARIETTA 850 allows an all-round solution for endoscopic Ultrasound for both diagnostics and interventional therapeutic endoscopic Ultrasound. By launching this premium end EUS system, Fujifilm intends to provide outstanding Ultrasound image quality with advanced therapeutic capability.

Arietta 850 FF ENDO
The ARIETTA 850 is equipped with Fujifilm Healthcare’s ultrasonic transmission and reception technology “eFocusing” and image processing technology “Carving Imaging,” making it possible to render clear Ultrasound images, from superficial to the very deepest areas of the abdomen. Fujifilm’s Ultrasound endoscope EG-740UT has improved Ultrasound transmission and reception sensitivity by adopting a newly developed high-performance transducer. The quality of Fujifilm’s Ultrasound image quality is therefore greatly improved.

Please contact us for more information.

5th Stoke International EURCP Pancreatobiliary Endoscopy Symposium
8th & 9th February 2024

The Stoke International EURCP Pancreatobiliary Endoscopy Symposium returns on the 8th and 9th of February 2024 and will once again bring ERCP and EUS specialists together for two days of engaging debate and learning, under guidance of an expert local, national and international faculty.

The event will aim to address the clinical and technical issues faced during ERCP, including the role of EUS in ERCP (ERCP/EUS interface), using a combination of interactive lecture, panel discussion and live case discussion guided by the expert faculty.

Live cases will be presented from the Royal Stoke University Hospital, the Asian Institute of Gastroenterology, Hyderabad, the Reliance Foundation Hospital, Mumbia, The University of Montreal Hospital Center and Advent Health, Orlando. A dedicated nurses programme will run in parallel to the main programme on day two.

We encourage trainees and consultants in gastroenterology, hepatobiliary surgery and GI radiology, as well as ERCP radiographers and nurses to attend and benefit from the superb educational opportunities that this symposium will provide. Utilising sophisticated audio-visual technology this will be a fantastic opportunity to engage in multidisciplinary discussion with other delegates in a relaxed and informal environment.

Course directors Srisha Hebbar and Damien Durkin invite you to join them for this not-to-be missed event.

For further details and to register at the discounted “early bird” rate CLICK HERE.

Better quality to the “end”

AI software for the OMOM Colon Capsule launches with enhanced image quality, further establishing colon capsule as a viable alternative to colonoscopy.

As the national colon capsule endoscopy pilot continues in the UK the evidence continues to support the use of colon capsules in intermediate and low risk patients with gastrointestinal symptons1

To meet the surging demand of early screening for colon diseases, the OMOM Colon Capsule (Omom CC) endoscopy system has been developed with the latest innovations including enhanced image quality, longer battery life and revolutionary AI powered software.

Jinshan host the OMOM Colon Capsule Endoscopy Master Course on Saturday, 14 October 2023, 1:00-6:00pm at Marriot Hotel Copenhagen.

Join us to learn the latest practical aspects and skills of clinical application in colon capsule.

Please contact us for more information.


TaeWoong Medical Niti-S GIOBOR™ stent

Dr Nadeem Tehami from University Hospital Southampton NHS Foundation Trust shares his experiences of using the TaeWoong Medical Niti-S GIOBOR™ stent for EUS-guided hepaticogastrostomy.

Please contact us for more information.

Size does matter!

SCALE EYE, real-time virtual scale to accurately measure the size of lesions in the colon.

When deciding on therapeutic intervention within the colon, such as resect and discard, EMR, and ESD, lesion size is considered one of the important factors. However, it is not always straightforward to estimate lesion size in the endoscopic field of view.
SCALE EYE is the latest technology to be launched as part of the ELUXEO Ultra platform, delivering a comprehensive package for endoscopists.

Fujifilm has developed SCALE EYE, a function designed to aid endoscopists in estimating the size of lesions in the colon. By simply pressing the endoscope switch, SCALE EYE is activated to support the endoscopist to determine the size of the lesion within the endoscopic field of view.

Please contact us for more information.

The use of PuraStat in the management of walled-off pancreatic necrosis drained using lumen-apposing metal stents: A case series

Bleeding, both intraprocedural and delayed, is one of the most frequent adverse events in the case of endoscopic ultrasound (EUS) guided drainage of walled-off pancreatic necrosis (WOPN) and of direct endoscopic necrosectomy (DEN). In this retrospective study by Binda C. et al., the authors evaluated PuraStat’s (RADA16) safety & efficacy in preventing and controlling bleeding of WOPN drainage using lumen-apposing metal stents (LAMS). The authors concluded that PuraStat is effective in achieving haemostasis for oozing bleeding, and may also manage spurting bleeding (1) temporarily to control the blood loss in between subsequent radiological or surgical treatments. Moreover, PuraStat can be easily and safely applied for the prevention of delayed post-DEN bleeding and may promote cavity resurfacing, enhancing walled-off pancreatic necrosis resolution.

(1) Please note this publication contains data about the use of PuraStat in the management of spurting-type bleeding, which are currently not within the indication of PuraStat. For application within GI, PuraStat is indicated for: – Bleeding from small blood vessels and oozing from capillaries of the GI tract following surgical procedures and the surrounding tissues; – delayed bleeding following gastrointestinal endoscopic submucosal dissection (ESD) procedures in the colon.

To read the full paper CLICK HERE

Upcoming Events

United European Gastroenterology (UEG) Week

14-17 Oct 2023

Click here

King’s Live – King’s College

8-10 Nov 2023

Click here

UK & Ireland Endoscopy Ultrasound Society (UKIEUS) Meeting

29 Nov – 1 Dec 2023

Click here

Edinburgh Transnasal Endoscopy Training Workshop

20th Nov 2023

Click here

Stoke International EURCP Pancreatobiliary Endoscopy Symposium

Stoke on Trent,
8-9th Feb 2024

Click here

Contact Us