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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...

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Related Experiment Video

Updated: Jun 22, 2026

Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
08:40

Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity

Published on: June 12, 2019

Joystick interfaces are not suitable for robotized endoscope applied to NOTES.

Pierre Allemann1, Laurent Ott, Mitsuhiro Asakuma

  • 1IRCAD-EITS Institute, Strasbourg, France.

Surgical Innovation
|June 24, 2009
PubMed
Summary
This summary is machine-generated.

Robotic flexible endoscopes did not improve abdominal navigation compared to conventional ones. The joystick interface requires further development for enhanced control and stability in Natural Orifice Transluminal Endoscopy (NOTES) procedures.

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Design and Implementation of a Bespoke Robotic Manipulator for Extra-corporeal Ultrasound
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Design and Implementation of a Bespoke Robotic Manipulator for Extra-corporeal Ultrasound

Published on: January 7, 2019

Area of Science:

  • Minimally Invasive Surgery
  • Medical Robotics
  • Gastroenterology

Background:

  • Natural Orifice Transluminal Endoscopy (NOTES) presents unique challenges due to conventional endoscope limitations.
  • Robotic platforms are being explored to overcome these difficulties in endoscopic procedures.
  • Advancements in surgical robotics are crucial for expanding the capabilities of endoscopic interventions.

Purpose of the Study:

  • To compare the performance of human-controlled conventional flexible endoscopes versus robotically-assisted flexible endoscopes in an animal model.
  • To evaluate the impact of robotic manipulation on task completion times and intuitiveness in Natural Orifice Transluminal Endoscopy (NOTES).
  • To assess the influence of operator experience (endoscopists, laparoscopists, students) on the efficacy of robotic endoscopy.

Main Methods:

  • A comparative study involving 32 participants (experienced endoscopists, laparoscopists, and medical students) performing a transgastric NOTES procedure in an animal model.
  • Two flexible gastroscopes were used: one conventional and one robotically modified with motors controlled via computer and joystick.
  • Task performance was measured by the time taken to touch numbered intra-abdominal targets using both endoscopic platforms.

Main Results:

  • Conventional endoscopes were significantly faster (mean time 2.71 min) than robotized endoscopes (mean time 6.96 min) for task completion (P < .001).
  • Performance times with the robotized endoscope were statistically similar across all participant groups (endoscopists, laparoscopists, and students).
  • No significant performance differences were observed between laparoscopists and students when using either endoscopic technique.

Conclusions:

  • Current robotic flexible endoscopes with joystick interfaces do not enhance navigation or intuitiveness for Natural Orifice Transluminal Endoscopy (NOTES).
  • Robotics holds potential for improving complex NOTES tasks, particularly in instrument control and endoscope stabilization.
  • Further interface development is necessary to fully leverage robotics for advanced endoscopic interventions.