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Tiny blue laser may mean big changes in treatment of IBD. Experts @OSUWexMed share cool new technology http://bit.ly/13VFdkt  
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Razvan Arsenescu, MD, PhD


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Lasers Can Peer Through Intestine Walls, Spot IBD

Hi-tech tool improves diagnoses, cuts down on needed biopsies

(COLUMBUS, Ohio) August 2013 – A tiny blue laser beam could mean big changes in the way patients with inflammatory bowel disease (IBD) are treated in the future.  Right now, doctors might perform dozens of biopsies a year on the intestines of an IBD patient in an effort to better manage their disease.  Not only is that time-consuming, it’s expensive. Treating IBD costs more than a billion dollars a year in the U.S.

But the use of a powerful new laser is making that process much more efficient.

Simply by touching the laser to the wall of the intestine, doctors can magnify tissue one thousand times.  Then, in real-time, can determine if an area truly needs to be biopsied.

“It’s as if you’re navigating a tiny microscope throughout the body,” said Razvan Arsenescu, MD, PhD, medical director of the Inflammatory Bowel Disease Clinic at The Ohio State University Wexner Medical Center.

“You can actually get a sense of the area and focus the biopsies where the answer might be, instead of just relying on a random test,” he said.

To learn how the laser is making treatment for IBD patients more efficient, click on the video box to the left.  To read the full press release “click to read more” below.

 

 

 

 

 

 

 

COLUMBUS, Ohio – A tiny blue laser beam could mean big changes in the way patients with inflammatory bowel disease (IBD) are treated in the future.

 Nearly 1.5 million Americans have IBD, a group of inflammatory conditions of the colon and small intestine, and to help keep their condition in check, most patients undergo colonoscopies and have biopsies on a regular basis, which can be expensive. Treating IBD patients costs about $1.2 billion each year in the United States, according to the Crohn’s & Colitis Foundation of America.

But the use of a powerful new laser is making that process much more efficient at The Ohio State University Wexner Medical Center.

Simply by touching the laser to the wall of the intestine, doctors can magnify tissue 1,000 times. Then, in real-time, determine if an area truly needs to be biopsied.

“It’s as if you’re navigating a tiny microscope throughout the body,” said Dr. Razvan Arsenescu, medical director of the Inflammatory Bowel Disease Clinic at Ohio State’s Wexner Medical Center. “We’re still doing biopsies, but now we’re able to use technology to determine the best place to do the biopsies, which allows us to have very focused and high-yield biopsies.”

Ohio State’s Wexner Medical Center is one of the first hospitals nationwide using this type of laser micro endoscopy to treat patients with IBD. Almost 100 patients have received this treatment since October. Eventually, it may be used to treat patients with lung, bladder or gynecologic diseases, Arsenescu said.

“If you have this laser probe, you can actually touch the lining and see whether something looks normal or abnormal and the number of points you can touch can number in the hundreds,” said Arsenescu, who is an international expert in the treatment of Crohn’s disease and ulcerative colitis. “You can actually get a sense of the area and focus the biopsies where the answer might be, instead of just relying on a random test.”

Inflammatory bowel diseases are considered autoimmune diseases, in which the body’s own immune system attacks elements of the digestive system.

Often patients with IBD require immunosuppressive drugs that may increase their risk for infectious complications and even some types of cancer, Arsenescu said.

“Early diagnosis is important, along with early intervention,” he said. “In some patients, we have even found and removed precancerous lesions that likely would have developed into colon cancer.”

The Inflammatory Bowel Disease center, which is staffed by gastroenterologists, surgeons, pathologists, radiologists and nutritionists at Ohio State’s Wexner Medical Center, provides a comprehensive approach to IBD treatment and immediate access to evidence-based medicine.

 

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Images

/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/01_Laser_on_cart.jpg
New laser helps diagnose IBD
Doctors at The Ohio State University Wexner Medical Center are using a laser to peer into the human body like never before. The laser beam could mean big changes for patients with intestinal diseases.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/02_Holding_laser.jpg
New laser technology helps doctors determine if biopsy is necessary
A doctor at The Ohio State University Wexner Medical Center holds a tiny blue laser, which allows him to spot problems in the intestines and take fewer but more accurate biopsies.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/03_Team_in_procedure.jpg
Team performs procedure with new laser
Dr. Razvan Arsenescu and his team at The Ohio State University Wexner Medical Center work with laser technology on patients with inflammatory bowel disease.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/04_Doctor_desk_OTS.jpg
Doctor looks at images from a colonoscopy
Dr. Razvan Arsenescu at The Ohio State University Wexner Medical Center looks at images taken during a colonoscopy. New technology allows him to press a laser against the wall of the intestine and magnify the image a thousand times.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/05_Doctor_on_computer.jpg
Dr. Razvan Arsenescu
Dr. Razvan Arsenescu is an inflammatory bowel disease expert at The Ohio State University Wexner Medical Center.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/06_Sue_grapes.jpg
Sue Wetzel washes grapes
Sue Wetzel has inflammatory bowel disease (IBD) and knows that eating the wrong food can cause a painful flare of her condition.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/07_Sue_Vertical.jpg
IBD patient
Sue Wetzel has inflammatory bowel disease (IBD) and has had to endure several biopsies with each colonoscopy. She estimates that she may have had more than 500 biopsies.
/newmedia/mcp/osunch/2013/aug13/IBD/8-Images/08_Sue_computer_horizontal.jpg
Sue Wetzel sits at her computer
A new laser technology can help patients with inflammatory bowel disease like Sue Wetzel. Dr. Razvan Arsenescu at The Ohio State University Wexner Medical Center is using the laser to magnify the wall of the intestine a thousand times and determine on the spot if a biopsy is necessary.
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