Motorized Spiral Enteroscopy: to infinity and beyond?
نویسندگان
چکیده
With the advent of device-assisted enteroscopy (DAE) in early 2000s, endoscopic access to entire small bowel is possible nowadays (1). And yet, there still room for improvement. Total remains a time-consuming procedure, often combining antegrade (oral) and retrograde (anal) approach with only reasonable chance obtain complete endoscopy (2). Therefore, aim go faster, deeper perform more advanced therapeutic interventions within long tortuous bowel. Moreover, DAE was also shown be effective cholangiopancreatography (ERCP) patients surgically altered anatomy colonoscopy previously incomplete conventional due dolichocolon (3). The latest development Motorized Spiral Enteroscopy (MSE), initially conceptualized as manually driven rotational spiral overtube by Paul A. Akerman, further developed commercialized motorized Olympus Medical Systems Corporation (4). Initial feasibility trials have that MSE can compete already available techniques (single- double-balloon enteroscopy) regard diagnostic yield endotherapy (5,6). However, being short type enteroscope 168 cm (as compared 200 single- enteroscopes), appears even obtaining deep total relatively procedural duration (2,6). In addition, working channel diameter increased 3.2 mm 2.8 mm) an extra irrigation channel, facilitating This faster (but aggressive) technique comes price risk mucosal injuries (ranging from superficial bruising laceration perforation) oesophagus bowel, luckily remaining asymptomatic most time without any clinical consequence (6). So far, this promising new has potential becoming gamechanger evolving field enteroscopy.
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ژورنال
عنوان ژورنال: Acta gastro-enterologica belgica
سال: 2021
ISSN: ['1784-3227']
DOI: https://doi.org/10.51821/84.3.025