Role of Ano-Rectoscope (LumenEye X1) at point of care

ABSTRACT

Purpose/Background: It is well recognised that patients following long course chemoradiotherapy can have a complete clinical response. This offers the possibility for organ preservation. However these patients require intense surveillance which commonly involves frequent MRI scans and flexible sigmoidoscopy. LumenEye is a state of the art endoscopic kit, which allows a convenient, comfortable and efficient way of visualising the ano-rectal area in OPD with high quality images avoiding the need for a formal endoscopic procedure. Methods/Interventions: The device includes (a) LumenEye X1 endoscope (b) Tablet display with full HD screen (c) Intuitive CHiP software and (d) Portable case with workstation. The kit displays full HD images and can capture videos. Results/Outcomes: We have used the LumenEye X1 endoscope to survey patients following a complete clinical response who have opted for organ preservation. It avoids the need for an endoscopy and detailed images and videos can be shared with specialist centres. This has been of particular benefit during the Covid 19 pandemic where there has been a limited endoscopy resource. The technology also has other applications such as the intraoperative assessment of left sided colonic anastomosis. Conclusion/Discussion: LumenEye X1 endoscope offers an alternative to the use of endoscopy in the surveillance of patients with a complete clinical response. It also has the potential to free up valuable endoscopy resources.