Diagnostic yield of routine push enteroscopy with a graded-stiffness enteroscope without overtube

Keizman, Daniel; Brill, Shai; Umansky, Mark; Rattan, Yacob; Hallak, Aharon; Halpern, Zamir; Konikoff, Fred M.

doi:10.1016/s0016-5107(03)70023-6

Cited by 24 publications

(7 citation statements)

References 24 publications

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“…A number of reported complications, which include mucosal stripping,20 duodenal perforation,17 pharyngeal tear,14 pancreatitis and Mallory–Weis tear21 have been reported with the use of the overtube and this may limit its application during enteroscopy. Later studies with graded stiffness enteroscopes have questioned the additional value of the overtube, hence many units no longer use it in routine practice 22 – 24. The depth of insertion during push enteroscopy and the length of small bowel examined (30–160 cm) is variable 13 – 15 17 21 22 24 – 31.…”

Section: 0 Types Of Small Bowel Enteroscopymentioning

confidence: 99%

“…Later studies with graded stiffness enteroscopes have questioned the additional value of the overtube, hence many units no longer use it in routine practice 22 – 24. The depth of insertion during push enteroscopy and the length of small bowel examined (30–160 cm) is variable 13 – 15 17 21 22 24 – 31. Two methods can be used to measure the maximum length of small bowel examined: metric measurement from pylorus on withdrawal after straightening, or fluoroscopy which helps to ascertain absence of a gastric loop 18 21 22 27 31…”

Section: 0 Types Of Small Bowel Enteroscopymentioning

confidence: 99%

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Guidelines on small bowel enteroscopy and capsule endoscopy in adults

Sidhu

Sanders

Morris

et al. 2007

Gut

214

142

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Section: 0 Types Of Small Bowel Enteroscopymentioning

confidence: 99%

Section: 0 Types Of Small Bowel Enteroscopymentioning

confidence: 99%

Guidelines on small bowel enteroscopy and capsule endoscopy in adults

Sidhu

Sanders

Morris

et al. 2007

Gut

214

142

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“…A recent study by May et al (30) shows a new method to perform PE using an enteroscope with a double balloon, which allows to visualize the whole of the small intestine by oral and anal introduction. The use of enteroscopes with variable stiffness also seems to show promising results (31,32).…”

Section: Discussionmentioning

confidence: 99%

Diagnostic yield of 335 push video-enteroscopies

Rodríguez

Moyano

Castro

et al. 2006

Rev. esp. enferm. dig.

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Background and objectives: the diagnostic yield of push enteroscopy (PE) varies widely from 13 to 78% of cases, according to the various series. The aim of this retrospective cohort study was to determine the endoscopic and histological yield of PE in our health area.Patients and methods: a total of 355 consecutive patients (190 males/165 females; mean age 45 years, range 15-89) underwent PE over a 6-year period, from 1997 to 2003. PE was performed under sedation and without overtube. Small-bowel mucosa biopsies were taken in 199 explorations (56%). Clinical indications for PE included: chronic diarrhea (35%), occult digestive bleeding (ODB) or iron-deficiency anemia (28%), suspected smallbowel malignancy (16%), chronic abdominal pain (28/355; 8%), follow-up of polyposis or malabsorption syndromes (7%), and abnormal radiographic findings (6%).Results: PE detected lesions in 122 cases (34%); in 6 cases (6%) lesions were within the reach of esophagogastroduodenoscopy. A normal macroscopic appearance of the small intestinal mucosa with an abnormal histological study was seen in 16 patients (6%). Major findings included: malabsorptive diseases (14%), nonspecific enteropathy (5%), angiodysplasia (3,5%), lymphangiectasia (3%); jejunal polyps (2%), Crohn´s disease (2%), intestinal tumors (2%), extrinsic jejunal strictures (0.5%), and other (10/355; 3%). Abnormal radiographic findings (62%), chronic diarrhea (37%) and ODB (31%) were the indications with a higher diagnostic yield. No major complications were seen.Conclusions: according to our experience, PE is a safe and useful tool for the evaluation of small-bowel disease, especially in some indications (abnormal radiographic findings, chronic diarrhea, and ODB). Small-bowel biopsy increases PE's diagnostic yield in patients with chronic diarrhea.

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“…While initial studies showed an increase in the depth of insertion with the use of an overtube [10,11], later studies with graded stiffness enteroscopes have questioned the additional value of the overtube [12,13]. The main advantages of PE are that it is quite easy and quick to perform, is not a staff-intensive procedure, the overtube is reusable and there is no need to set up a special system (e.g.…”

Section: Diagnostic Work-up Of Small Bowel Diseasesmentioning

confidence: 99%

Modern Imaging Techniques: Which - When - Why?

May¹

2013

Dig Dis

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Within the last decade, the technological development improved the diagnostic work-up of small bowel diseases. In addition to abdominal ultrasound and radiological methods, the importance of endoscopy is increasing. Nowadays, five nonsurgical flexible endoscopy techniques are available for small bowel endoscopy: push enteroscopy and balloon-guided enteroscopy for evaluation of the proximal small bowel, balloon-assisted enteroscopy using two balloons (double-balloon enteroscopy) or one balloon (single-balloon enteroscopy), and spiral enteroscopy for evaluation of the deep small bowel. Intraoperative enteroscopy has become a reserve method.

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Diagnostic yield of routine push enteroscopy with a graded-stiffness enteroscope without overtube

Cited by 24 publications

References 24 publications

Guidelines on small bowel enteroscopy and capsule endoscopy in adults

Guidelines on small bowel enteroscopy and capsule endoscopy in adults

Diagnostic yield of 335 push video-enteroscopies

Modern Imaging Techniques: Which - When - Why?

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