Motorised spiral enteroscopy: pilot experience from a tertiary care centre in Singapore

Liang, Raymond

doi:10.11622/smedj.2022096

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Owing to the novelty of MSE, data on its safety are still relatively scarce [5,6]. To our knowledge, to this date, the safety evidence is based on approximately 1190 patients from 14 studies [1,3,7,8,9,10,11,12,13,14,15,16,17,18]. Large studies like the currently ongoing prospective multicentric "GPS-Registry" under the guidance of Professor Allgaier and Dr. Steinbrück (Freiburg, Germany) will help to further expand data on its performance in the true clinical setting.…”

Section: Discussion and Review Of The Literaturementioning

confidence: 99%

Spontaneous detachment of the spiral overtube from the endoscope in the upper esophagus: a case report and literature review of a rare complication during motorized spiral enteroscopy

Wiedbrauck

Freund

et al. 2023

Z Gastroenterol

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Background Motorized spiral enteroscopy (MSE) is a recent modality for diagnostic and therapeutic examination of the small bowel using a spiral-shaped overtube with an integrated electric motor attached to an endoscope. With growing evidence of its efficacy, MSE is increasingly being used by endoscopic facilities. We herein present an uncommon case of the detachment of the spiral overtube from the endoscope during MSE. Case Report We performed antegrade MSE in a 75-year-old female under general anesthesia for coagulation of multiple small-bowel arteriovenous malformations and resection of a polyp detected on a previous capsule endoscopy. The management was successful, and we had no passage difficulties. However, during the withdrawal phase of the enteroscope, the entire spiral overtube disconnected from the endoscopic shaft and became stuck in the esophagus and pharynx. Attempts to remove the lodged spiral using various endoscopic forceps, graspers, snares, or a dilatation balloon failed. Also, the laryngoscopic use of Magill forceps did not allow grabbing the spiral properly. Eventually, the spiral could be retrieved laryngoscopically with arthroscopic grasping forceps. This incident caused laryngeal swelling and bleeding lacerations of the upper esophagus, which were clipped on a subsequent gastroscopy. No further long-lasting complications occurred in the patient. Conclusion Detachment of the spiral from the enteroscope is a potentially life-threatening and challenging complication of MSE. Artificial ventilation under observation by an anesthesiologist allowed for calm management of this dangerous situation and increased the overall safety of the procedure. Hence, we believe that in the context of antegrade MSE, general anesthesia with endotracheal intubation should be mandatory.

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Section: Discussion and Review Of The Literaturementioning

confidence: 99%

Spontaneous detachment of the spiral overtube from the endoscope in the upper esophagus: a case report and literature review of a rare complication during motorized spiral enteroscopy

Wiedbrauck

Freund

et al. 2023

Z Gastroenterol

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„Das Ende der Motor-Spirale“ - ein Nachruf

Hollerbach

2023

Gastro-News

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Motorized spiral enteroscopy: A cautious step forward in technological innovation

Xiao,

Lin,

Chen

2024

World J Gastrointest Endosc

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With the continuous advancement in medical technology, endoscopy has gained significant attention as a crucial diagnostic tool. The introduction of motorized spiral enteroscopy (MSE) represents a significant advancement in the diagnosis and treatment of small bowel diseases. While there are safety concerns and a high reliance on the operator’s skills, MSE should not be disregarded entirely. Instead, it should be considered as a supplementary endoscopic technique, particularly in situations where conventional endoscopy proves ineffective. Through continuous research and technical optimization, MSE has the potential to become an important addition to the endoscopy toolbox in the future. We call on colleagues in the industry to work together to promote the improvement of MSE technology through continuous research and practice, with the aim to bring out its unique value in endoscopy while ensuring patient safety.

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Motorised spiral enteroscopy: pilot experience from a tertiary care centre in Singapore

Cited by 3 publications

References 15 publications

Spontaneous detachment of the spiral overtube from the endoscope in the upper esophagus: a case report and literature review of a rare complication during motorized spiral enteroscopy

Spontaneous detachment of the spiral overtube from the endoscope in the upper esophagus: a case report and literature review of a rare complication during motorized spiral enteroscopy

„Das Ende der Motor-Spirale“ - ein Nachruf

Motorized spiral enteroscopy: A cautious step forward in technological innovation

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