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Current status of device-assisted enteroscopy: Technical matters, indication, limits and complications
Riccioni Maria Elena1, Urgesi Riccardo, Cianci Rossella
1Riccioni Maria Elena, Unit of Digestive Endoscopy, Catholic University of Rome, Largo A Gemelli, 00168 Rome, Italy.
World Journal of Gastrointestinal Endoscopy
|November 29, 2012
Summary
Advances in enteroscopy, including device-assisted enteroscopy, improve small bowel visualization for diagnosing diseases like obscure bleeding and neoplasms. New technologies enable complete small bowel examination, though skilled application is crucial.
Area of Science:
- Gastroenterology
- Medical Technology
Background:
- Small bowel disease diagnosis and treatment require effective endoscopic visualization.
- Enteroscopy technologies have significantly advanced, offering new diagnostic and therapeutic capabilities.
Purpose of the Study:
- To review recent advancements in small bowel enteroscopy.
- To focus on indications, imaging improvements, techniques, pitfalls, and clinical applications of new enteroscopic instruments.
Main Methods:
- Review of novel enteroscopy technologies, including video capsule endoscopy and device-assisted enteroscopy (double balloon, single balloon, spiral endoscopy).
- Discussion of diagnostic and therapeutic applications for small bowel diseases.
Main Results:
- Newer enteroscopy devices allow for improved visualization and complete examination of the small bowel.
- Identification of small bowel lesions, such as vascular malformations and neoplasms, has dramatically improved.
Conclusions:
- Complete small bowel enteroscopy is now feasible with advanced technologies.
- Further prospective studies are needed to optimize the use of these techniques for diagnosis and therapy, especially for obscure bleeding and neoplasms, considering the need for specialized skills and resources.
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