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PENTAX i-SCAN™ with Radiation Case Study For Medical Professionals

Patient History semicircumferential fashion. This was consistent with moderate-to-severe CB is an 81-year-old male referred radiation proctitis (Figure 2). This for a for evaluation of allowed for better targeting of therapy rectal bleeding. There is no prior with (APC) family history of colorectal , using a 10 French treatment probe and screening colonoscopy done five (Figure 3). years earlier was within normal limits. Figure 1 He did have a diagnosis of rostate Patient Follow-up and cancer two years for presentation and was treated with . Outcome: Post-treatment the patients Colonoscopy Findings: symptoms of rectal bleeding improved Colonoscopy was performed and markedly. He returned for one more was advanced into the terminal . follow-up flexible two Essentially there were no findings months later with additional therapy of of colon polyps, tumors or mass the radiation proctitis, which had been Figure 2 lesions. In addition, no endoscopic downgraded to mild proctitis after findings of Crohn’s disease or the first round of APC therapy. He ulcerative or ischemic were continues to do well and has not had noted. In the distal there was recurrence of rectal bleeding. the appearance of radiation proctitis seen on initial White light endoscopy (WLE) imaging which suggested that the degree of proctitis was mild Figure 3 encompassing approximately 25% of Deepak V. Gopal, the surface area (Figure 1). However, MD, FRCP(C), AGAF, FACG, FASGE the i-SCAN 1 mode was turned on and Professor of Medicine in fact revealed extensive radiation Director of Endoscopy, Division of proctitis involving approximately Univeristy of Wisconsin - 60% of the lumen surface area School of Medicine & Public Health in the anterior-lateral wall in a Madison, WI United States

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