1、 Okumenyawo okutabangula mu kisaawe ky’okuzuula1. Wireless Capsule Endoscopy (WCE)Disruptive: Gonjoola ddala "ekifo ekizibe" eky'okukebera ekyenda ekitono era odde mu kifo ky'ekinnansi ekiruma
1、 Okumenyawo okutabangula mu kisaawe ky’okuzuula
1. Okukebera endwadde z’omubiri ezitaliiko waya (WCE) .
Disruptive: Gonjoola ddala "ekifo ekizibe" eky'okukebera ekyenda ekitono era ozzeewo endoscope y'ekyenda ekitono eky'ekika kya push type ekiruma.
Okulongoosa mu by’ekikugu:
AI assisted diagnosis: nga Given Imaging’s PillCam SB3, eriko tekinologiya wa adaptive frame rate, AI ekola akabonero mu ngeri ey’otoma ebifo ebivaamu omusaayi/amabwa (sensitivity>90%).
Magnetic controlled capsule gastroscopy (nga NaviCam okuva mu Anhan Technology): okufuga okutuufu okw’okukyusakyusa capsule nga tuyita mu magnetic field ey’ebweru kisobozesa okwekenneenya olubuto mu bujjuvu, era obutuufu bw’okukebera kookolo w’olubuto nga bukyali bugeraageranyizibwa ku gastroscopy ey’ekinnansi (>92%).
Biopsy capsule (experimental stage): nga micro clamp capsule eyakolebwa ttiimu y’abanoonyereza eya South Korea, esobola okufugibwa okuva ewala okusobola okutwala sampuli.
2. Tekinologiya ow’amagezi ow’okusiiga endoscopic
Okukuba ebifaananyi mu ngeri enfunda (NBI):
Omusingi: Ekitangaala kya 415nm/540nm narrow spectrum kyongera ku njawulo y’emisuwa gy’omubiri (mucosal vascular contrast).
Disruptive effect: Omuwendo gw’okuzuula kookolo w’olubuto nga bukyali gweyongedde okuva ku 45% mu endoscopy eya bulijjo ey’ekitangaala ekyeru okutuuka ku 89% (okusinziira ku mutindo gwa Japanese JESDS).
Okukuba ebifaananyi ebikwatagana (LCI):
Enkizo: Fuji’s patented algorithm erina omuwendo gw’okutegeera ogw’okungulu ebitundu 30% ku superficial gastritis ne intestinal metaplasia bw’ogeraageranya ne NBI.
3. Okukebera endwadde za layisi eziyitibwa Confocal Laser Endoscopy (pCLE) .
Ekikulu mu by’ekikugu: Dyaamu ya probe eri mm 1.4 zokka (nga enkola ya Cellvizio), okutuuka ku kwetegereza okw’omutendera gw’obutoffaali mu kiseera ekituufu ku kukuza emirundi 1000.
Omugaso gw’obujjanjabi:
Okuzuula amangu obulwadde bwa Barrett’s esophageal dysplasia okwewala okukeberebwa enfunda eziwera.
Omuwendo omubi ogw’okuteebereza ogw’okulondoola obulwadde bwa kookolo bw’amabwa mu lubuto guli 98%.
2、 Ebigonjoola eby’enkyukakyuka mu kisaawe ky’obujjanjabi
1. Okusalako enseke z’omubiri (ESD) .
Okukulaakulana mu tekinologiya:
Ekiso ky’amasannyalaze eky’ekika kya bipolar (nga FlushKnife BT): okufuyira omunnyo kikendeeza ku bulabe bw’okukutuka.
CO 2 laser assisted: okufuumuuka okutuufu okwa submucosal layer, omusaayi volume<5ml.
Ebikwata ku bujjanjabi:
Omuwendo gw’okusalako okuwonya kookolo w’olubuto nga bukyali gusukka ebitundu 95%, ate omuwendo gw’okuwangaala okw’emyaka 5 gugeraageranyizibwa ku kulongoosa okw’ekinnansi (okusukka mu 90%).
Okunoonyereza kwa DDW mu Amerika kulaga nti okutwalira awamu omuwendo gw’okusalako ebizimba by’ekyenda ekinene (LST) ebinene okusinga sentimita 3 guli 91%.
2. Okulongoosa endoscopic nga oyita mu natural cavity (NOTES) .
Obukodyo bw’okulongoosa obukiikirira:
Transgastric cholecystectomy: Olympus TriPort multi-channel endoscope ekozesebwa, era emmere enywa oluvannyuma lw’essaawa 24 ng’alongooseddwa.
Transrectal appendectomy: Ttiimu ya South Korea etegeezezza nti omuntu asoose okufuna obuwanguzi mu nsi yonna mu 2023.
Ebikozesebwa ebikulu: Full layer closed clamp (nga OTSC) ®) Gonjoola okusoomoozebwa okusinga obunene okwa NOTES - cavity closure.
3. Okusalako obuwanvu obujjuvu mu endoscopic (EFTR) .
Okumenya ebiraga: Okujjanjaba ebizimba by’omu lubuto (GIST) ebisibuka mu layeri y’ebinywa eby’omunda.
Ekisumuluzo ky’eby’ekikugu: Okulongoosa mu ngeri ya laparoscopic endoscopic combined surgery (LECS) kukakasa obukuumi.
Ebikozesebwa ebipya eby’okutunga (nga OverStitch) TM) Okutegeera okutunga mu layeri enzijuvu.
3、 Enteekateeka ekwataganye ey’okuzuula n’okujjanjaba ebizimba
1. Okuggyamu endoscopic guided radiofrequency ablation (EUS-RFA) .
Obujjanjabi bwa kookolo w’olubuto: empiso efumita 19G yayingizibwa mu RF probe, era omuwendo gw’okufuga mu kitundu gwali 73% (≤ 3cm tumor).
Bw’ogeraageranya n’okulongoosa okuggule, omuwendo gw’ebizibu gukendedde okuva ku bitundu 35% okutuuka ku bitundu 8%. Okukozesa kookolo w’ekibumba: Okuggyako ebizimba mu kitundu ky’ekibumba ekiyitibwa caudate lobe.
2. Okulongoosa mu ngeri ya fluorescent navigation endoscopic
Tekinologiya w’okuwandiika obubonero mu ICG: Okukuba empiso mu misuwa nga tebannaba kulongoosa, okukebera endoscopy okumpi n’ekyuma ekimyufu (nga Olympus OE-M) okulaga ebanga lymphatic drainage. Obujjuvu bw’okusalako ennywanto z’omusaayi mu kiseera ky’okulongoosa kookolo w’olubuto bulongoosebwa ebitundu 27%.
Ebipimo ebitunuuliddwa ebitangalijja (omutendera gw’okugezesa): nga MMP-2 enzyme responsive probes, naddala biwandiika ku busimu obutono obusaasaana.
4、 Obuyiiya mu mbeera ez’amangu n’okulabirira abantu abazibu
1. Okuvaamu omusaayi ogw’amaanyi mu lubuto
Obuwunga obuziyiza omusaayi okufuuyira omusaayi:
Wansi w’okufuuyira mu endoscopic, ekiziyiza eky’ebyuma kikolebwa, nga omuwendo gw’omusaayi oguziyiza omusaayi guli 92% (Forrest Grade Ia bleeding).
Ekitundu Ekikwata ku Bunene (OTSC):
O "Bear Claw" design, okuggalawo ebituli by'amabwa nga diameter etuuka ku 3cm.
2. Endoscopic decompression okusobola okuzibikira ekyenda
Ekikwaso ky’ekyuma ekyegaziya (SEMS):
Obujjanjabi bw’omutala (bridge therapy) ku kuzibikira kw’olubuto olunene obubi, ng’obuweerero busukka mu 90% mu ssaawa 48.
Ebikwaso ebipya ebisala layisi (nga Niti-S) TM) Kendeeza ku muwendo gw’okukyusa okutuuka ku bitundu 5%.
5、 Endagiriro za tekinologiya mu biseera eby’omu maaso
1. Enkola y’okusalawo mu kiseera ekituufu ekya AI:
Okufaananako Cosmo AI TM Otomatiki okutegeera sipiidi y’okuggyayo mu kiseera ky’okukebera colonoscopy, okukendeeza adenoma missed diagnosis (ADR yeeyongedde 12%).
2. Endoscope ya capsule evunda:
Magnesium alloy frame+polylactic acid shell, esaanuuse mu mubiri mu ssaawa 72 oluvannyuma lw’okukeberebwa.
3. Endoscope ya roboti ya micro:
"Origami robot" okuva mu ETH Zurich esobola okukolebwa n'efuulibwa ekifo eky'okulongoosaamu okutwala sampuli.
Omulongooti gw’okugeraageranya ebikolwa by’obujjanjabi
Ebirina okulowoozebwako ku kussa mu nkola
Amalwaliro ag’omu ttaka: Okukulembeza kulina okuweebwa ebyuma ebikozesebwa mu kukebera omusaayi mu ngeri ya magnetic control capsule gastroscopy+OTSC hemostatic system.
Eddwaaliro ery’omutindo ogw’okusatu: Kirungi okussaawo ekifo ekijjanjaba kookolo ekitali kya mubiri nnyo ekya ESD+EUS-RFA.
Obulagirizi bw’okunoonyereza: Essira lisse ku AI pathology real-time analysis+degradable robotic endoscopy.
Tekinologiya ono addamu okuzimba enkola y’okuzuula n’okujjanjaba endwadde z’omu lubuto nga bayita mu makubo asatu amakulu: agatali gayingirira, agatuufu, n’aga magezi. Okukozesa okwa nnamaddala kwetaaga okugattibwa wamu n‟enjawulo z‟omulwadde ssekinnoomu n‟okutuuka ku by‟obujjanjabi.