Extensive small-bowel diverticulosis identified with the newly introduced On Demand Enteroscopy system

Abstract

The recently introduced On Demand Enteroscopy system (ODE; NaviAid AB, Smart Medical Systems, Ra'anana, Israel) enables deep small-bowel enteroscopy using standard endoscopic equipment. The ODE device consists of a disposable balloon that is advanced through the working channel of a standard endoscope equipped with a working channel of at least 3.8 mm (• " Fig. 1). To the best of our knowledge, there are currently no published reports on the use of this new technique. A 64-year-old man presented with abdominal pain, anemia and positive hemoccult. His physical examination was unremarkable and the laboratory parameters were

Deep enteroscopy with standard endoscopes using a novel through-the-scope balloon

“…This is likely to be due to the soft, flexible nature of the balloon catheter. Indeed, the first case report of this device demonstrated the safety of advancement without direct vision in a patient with multiple large small-bowel diverticula [19]. Novel applications of ODE (3.7-mm working channel) over the current deep enteroscopy techniques (2.8-mm working channel) may include placement of self-expandable metal stents for the relief of enteral obstruction, or biliary obstruction in the setting of ERCP for altered anatomy.…”

Balloon Enteroscopy

“…7.1 and 7.2 ). Deep enteroscopy performed with a through-the-scope balloon catheter is known as balloon-guiding endoscopy (BGE, NaviAid ® ) [ 15 ] (Fig. 7.2 ).…”

“…However, spiral enteroscopy did not gain the expected popularity and utility and is currently unavailable in most parts of the world. In addition, a new disposable device, the NaviAid ™ AB (AB = advancing balloon), also called BGE device (balloon-guided endoscopy), has been developed [ 15 ]. The NaviAid ™ system can be used with standard endoscopes, consisting of a catheter with an infl atable balloon attached at the distal end.…”

The role of small-bowel endoscopy in inflammatory bowel disease: an updated review on the state-of-the-art in 2021

“…This minimally invasive system, designed specifically for the monitoring of disease activity in patients with suspected or established CD [ 25 ], allows for extensive evaluation of the entire GI tract and is already being incorporated into routine clinical practice [ 26 ]. Recent developments in the field of DAE include the introduction of a new double-balloon enteroscope with a wider (3.2 mm) working channel and higher resolution “Super CCD with CloseFocus™” imaging (EN-580T, Fujifilm, Tokyo, Japan) [ 27 ], the introduction of balloon-guided enteroscopy (BGE) (Naviaid™ AB; Pentax Medical, Tokyo, Japan) [ 28 , 29 ] and the novel motorized spiral enteroscopy (NMSE) (PowerSpiral, Olympus Medical, Tokyo, Japan) [ 30 ].…”