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Published on: April 17, 2020
Ultrathin endoscopy for gastrointestinal strictures
Musa Aydinli1, Irfan Koruk, M Sait Dag
1Department of Gastroenterology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey. maydinli@gantep.edu.tr
Summary
Ultrathin endoscopy (UTE) effectively evaluates and treats advanced gastrointestinal strictures, enabling complete diagnostic examinations in most cases and facilitating therapeutic interventions.
Area of Science:
- Gastroenterology
- Endoscopy
- Medical Devices
Background:
- Advanced gastrointestinal (GI) strictures pose diagnostic and therapeutic challenges.
- Standard endoscopes often fail to traverse these strictures, necessitating complex work-ups.
- Current management may involve radiology, repeated procedures, or surgery.
Purpose of the Study:
- To evaluate the utility of ultrathin endoscopy (UTE) in assessing and treating advanced GI strictures.
- To determine if UTE can overcome limitations of standard endoscopy in these cases.
Main Methods:
- Patients with incomplete standard endoscopy due to tight strictures underwent a same-session UTE procedure.
- Interventional endoscopic therapy was performed using UTE based on stricture characteristics.
- Diagnostic and therapeutic outcomes were prospectively followed.
Main Results:
- UTE successfully completed examinations in 78% of upper and 82% of lower GI stricture cases.
- Out of 62 identified patients, 16 received interventional endoscopic therapy with UTE assistance.
- The study period covered 8456 upper and 3815 lower diagnostic endoscopies.
Conclusions:
- Ultrathin endoscopy (UTE) is a valuable tool for evaluating advanced GI strictures.
- UTE facilitates complete diagnostic endoscopy in a majority of patients.
- UTE offers opportunities for therapeutic endoscopic interventions in stricture management.
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