Motorized Spiral Enteroscopy for Occult Bleeding

Mans, Laura; Arvanitakis, Marianna; Neuhaus, Horst; Devière, Jacques

doi:10.1159/000488479

Cited by 32 publications

(24 citation statements)

References 7 publications

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“…The motorized, spiral enteroscope has a motor attached to the handle of the scope which accelerates the procedure and fastens movement without the need for additional operator. 37 The present study does have its limitations. One such shortcoming arises from the chosen study design of retrospective nature.…”

Section: Discussionmentioning

confidence: 82%

Outcomes of Double Balloon Enteroscopy for Managing Overt Small Bowel Bleeding

Dalal

Patil

Maydeo

2020

Journal of Digestive Endoscopy

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Abstract Background The commonest therapeutic indications for double balloon enteroscopy (DBE) includes removal of retained video capsules, dilatation of strictures, polypectomy, and managing obscure small bowel bleeding. We review our experience in managing active small bowel bleeding with DBE. Methods A retrospective review was done for all the cases undergoing DBE from August 2017 to July 2019. Patient follow-up data was collected. Results Among 25 cases with a median age of 46.8 (range 25–65 years), 17 males (68%) underwent DBE for suspected small bowel bleeding. The commonest presenting complaint was melena 19 (76%). The findings were positive (diagnostic yield) in 18 (72%) patients with an antegrade approach. Active bleeding was associated with Dieulafoy's lesion (n = 6), gastrointestinal stromal tumors (GIST) (n = 4), jejunal varices (n = 3), angioectasia (n = 3), and ulcer (n = 2), who then underwent successful intervention. The rest of the patients underwent both antegrade and retrograde approach but failed to immediately identify an alternative diagnosis. Mean (standard deviation [SD]) time taken for antegrade enteroscopy was 96.7 (15.3) mins and 67.8 (13.6) mins for retrograde enteroscopy. The median duration between the last bleeding episode and timing of DBE was 9 (range 6–15 hours). No major complications were seen during or immediately postprocedure. Conclusion DBE is useful in identifying and treating active small bowel bleeding. Being invasive and time-intensive, it is easy to miss lesions and, therefore, needs appropriate expertise. DBE does appear to be relatively cheaper, with better patient acceptance and time saving.

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Section: Discussionmentioning

confidence: 82%

Outcomes of Double Balloon Enteroscopy for Managing Overt Small Bowel Bleeding

Dalal

Patil

Maydeo

2020

Journal of Digestive Endoscopy

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“…Expected technological improvements include the development of robotic enteroscopes to allow progression of the instrument in the SB and to simplify the technique with a single operator. About this latter point, a novel motorized spiral enteroscope has been successfully used for the treatment of angiodysplasia . Another robotic system called ‘endoworm’ is in study .…”

Section: Enteroscopy: a Powerful Weapon To Solve Big Problems In The mentioning

confidence: 99%

“…About this latter point, a novel motorized spiral enteroscope has been successfully used for the treatment of angiodysplasia. 191 Another robotic system called 'endoworm' is in study. 192 This semi-autonomous device consists of an electronic control unit and a pneumatic system with two balloons that are inflated and deflated in such a way that the bowel retracts over the endoscope.…”

Section: Device-assisted Enteroscopymentioning

confidence: 99%

Endoscopic ultrasonography and small‐bowel endoscopy: Present and future

Tontini

Manfredi

Orlando

et al. 2019

Digestive Endoscopy

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Over the last decade, impressive technological advances have occurred in ultrasonography and small‐bowel endoscopy. Nowadays, endoscopic ultrasonography is an essential diagnostic tool and a therapeutic weapon for pancreatobiliary disorders. Capsule endoscopy and device‐assisted enteroscopy have quickly become the reference standard for the diagnosis of small‐bowel luminal diseases, thereby leading to radical changes in diagnostic and therapeutic pathways. We herein provide an up‐to‐date overview of the latest advances in endoscopic ultrasonography and small‐bowel endoscopy, focusing on the emerging paradigms and technological innovations that might improve clinical practice in the near future.

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“…A vékonybél területén a megtekintés mellett a mintavételt és a terápiás eljárások kivitelezését az enteroszkópia teszi lehetővé. Az idei évben jelent meg a motorizált spirálendoszkópia technika (Mans et al, 2018). Az endoszkóp kezelő felőli végébe épített motor bekapcsolásával forgatható az endoszkóp beteg felőli végére felcsavarható spirálisan körbefutó billentyű (5. ábra).…”

Section: Diagnózist Elősegítő Technikákunclassified

Új módszerek az endoszkópiában

Czakó¹

2019

Ma.Tud.

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Az endoszkópia a gasztroenterológia sikerágazata, az elmúlt évtizedekben jelentős fejlődésen ment át. A folyamat a fiberoszkópia bevezetésével kezdődött, és a videoendoszkópia, majd a kapszulás endoszkópia elterjedésével folytatódott. A kromoendoszkópia volt az endoszkópos képalkotást javító, a diagnosztikus hatékonyságot fokozó módszer. Ma már több, egyetlen gombnyomással működtethető, felhasználóbarát, az endoszkópos képalkotás hatékonyságát fokozó technika (például: virtuális kromoendoszkópia, autofluoreszcens képalkotás) áll rendelkezésre. Terápiás endoszkópos beavatkozások (például endoszkópos szubmukóza-disszekció, rádiófrekvenciás abláció és teljes falvastagságú reszekció) segítségével korai malignus elváltozások távolíthatók el a gasztrointesztinális traktusból. Az endoszkópos ultrahang irányításával végzett terápiás beavatkozások (peripankreatikus folyadékok, epehólyag, epeutak drenálása, a plexus coeliakus blokádja, lokális tumorterápia) gyors elterjedése figyelhető meg. Ezen módszerek nemcsak a sebészeti beavatkozások alternatíváját jelentik, hanem sok területen helyettesítik is azt.

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Motorized Spiral Enteroscopy for Occult Bleeding

Cited by 32 publications

References 7 publications

Outcomes of Double Balloon Enteroscopy for Managing Overt Small Bowel Bleeding

Outcomes of Double Balloon Enteroscopy for Managing Overt Small Bowel Bleeding

Endoscopic ultrasonography and small‐bowel endoscopy: Present and future

Új módszerek az endoszkópiában

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