Endoflip® is an advanced imaging system and patented technology that provides an internal view of the gastroesophageal (GE) junction during endoscopic and surgical procedures. It captures vital measurements of the pressure and dimensions in the esophagus and within other sphincters of the alimentary canal to assist in motility assessment and evaluating gastrointestinal disorders.

The Endoflip® System is an additional tool that can be used with other diagnostic methods to evaluate patients with symptoms consistent with gastrointestinal motility disorders. Endoflip® transforms how dysphagia assessment is performed enabling medical professionals to provide exceptional patient care by minimizing patient discomfort.

Innovative Imaging Software 

With new added Flip® Topography module, Endoflip® 2.0 will transform how esophageal motility assessment is performed by providing real-time measurements to determine if the patient has a major motility disorder at the time of upper endoscopy.

The Flip® Topography module allows the clinician to view unique contractility patterns generated by Endoflip® esophageal diameter measurements over time. The patterns observed can be used as an early screening mechanism for conditions such as achalasia, GEJ outflow obstruction conditions or other major and minor disorders of peristalsis.

Flip® Topography produces repetitive visual cues, not available elsewhere, that assist the caregiver in determining if a patient has a major motility disorder. All this can be achieved during standard endoscopic assessment under sedation.


Putting Information Into the Hands of Gastroenterologists and Endoscopists

“The evolution of esophageal function testing has moved rapidly over the last 10 years along the continuum of manometric technique and bolus transit assessment. Flip® offers an innovative method that enhances the assessment of esophageal function in various diseases including the management of achalasia. Emerging evidence also supports the clinical relevance of Flip® in assessing disease severity and measuring outcomes in EoE.”

Functional Lumen Imaging Probe for the Management of Esophageal Disorders: Expert Review From the Clinical Practice Updates Committee of the AGA Institute.
Clin Gastroenterol Hepatol. 2017 Mar;15(3):325-334.

 Endoflip® Benefits

  • Internal view of the gastroesophageal (GE) junction during endoscopic procedures
  • Assists in evaluating gastrointestinal disorders
  • Flip® Topography displays contractility patterns measured over 40-second time intervals
  • Early detection of major motility disorders during endoscopy
  • Complementary method to HRM
  • Minimizes patient discomfort
  • Real-time measurement data
  • Reduced time to treatment
  • Reimbursement Code CPT 91040
  • Quick and easy to use

 Endoflip® Applications

Endoflip® 2.0 is a revolutionary means of classifying esophageal motility and is setting a new clinical standard, providing an alternative and / or complementary method to high resolution manometry (HRM) for the evaluation of non-obstructive dysphagia.

Endoflip® 2.0 is indicated for use as an adjunct to other methods when assessing patients with

  • achalasia
  • esophageal dysphagia
  • eosinophilic esophagitis
  • gastroesophageal reflux disease (GERD)

The imaging system and its balloon catheters have also been deployed during POEM surgery.

Patient Information 

You may have been recently referred by your gastroenterologist for a clinical procedure to assess your swallow function if you are experiencing difficulties. We can provide you with general educational information about Crospon medical devices and we hope you find this information useful. However, we would encourage you to talk to your medical doctor about your own medical condition, procedures and therapies. If you have any concerns about your health please contact your doctor or health care professional directly.

What is Endoflip®?

Endoflip® (endolumenal functional lumen imaging probe) is a newer, minimally invasive device created to complement traditional swallow diagnostic tests, such as high resolution esophageal manometry (HRM) and barium esophagram.

How does it work?

During an upper endoscopy (EGD), and while you are sedated, a balloon catheter is passed through your mouth and into your stomach. A balloon attached to the catheter is inflated with a specific concentration of solution to different volume levels. At a certain point of inflation, your esophagus will mimic a swallow and this data is displayed graphically on a touch screen monitor which is part of the Endoflip® system. The data facilitates your endoscopist to evaluate your condition and provide you with an accurate diagnosis.

What is achalasia?

Achalasia is a motility disorder in which the esophagus empties slowly. The delay results from poor opening of the lower esophageal sphincter (valve) in association with the loss of normal, orderly muscle activity (peristalsis) stripping foods and liquids along the esophagus into the stomach.

What is GERD?

Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the lower esophageal sphincter (LES), the ring of muscle between the esophagus and stomach. Many people, including pregnant women, suffer from heartburn or acid indigestion caused by GERD

Is it uncomfortable?

Patients are usually mildly sedated during endoscopy and though awake, you should not feel any discomfort.

What is esophageal dysphagia?

A difficulty or discomfort in swallowing, as a symptom of disease.

What is eosinophilic esophagitis?

Eosinophilic esophagitis (EoE) is a chronic, allergic inflammatory disease of the esophagus. It occurs when a type of white blood cell, the eosinophil, accumulates in the esophagus and persists despite acid-blocking medicine.

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