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Deep enteroscopy: which technique will survive?

Seong Ran Jeon1, Jin-Oh Kim

  • 1Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.

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|October 22, 2013
PubMed
Summary
This summary is machine-generated.

Deep enteroscopy (DE) offers diagnostic and therapeutic capabilities for small bowel diseases. While double-balloon, single-balloon, and spiral enteroscopy show comparable effectiveness, procedure duration and complete enteroscopy rates vary.

Keywords:
Double-balloon enteroscopySingle-balloon enteroscopySpiral enteroscopy

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Small Bowel Diseases

Background:

  • Deep enteroscopy (DE) provides diagnostic and therapeutic options for small bowel diseases, unlike capsule endoscopy.
  • Double-balloon enteroscopy (DBE), single-balloon enteroscopy (SBE), and spiral enteroscopy (SE) are key DE techniques.

Purpose of the Study:

  • To compare the efficacy and safety of different deep enteroscopy techniques for small bowel investigation.
  • To evaluate procedural characteristics, diagnostic yield, and therapeutic yield of DBE, SBE, and SE.

Main Methods:

  • Review of published reports comparing DBE, SBE, and SE.
  • Analysis of parameters including depth of insertion, complications, learning curve, diagnostic yield, and therapeutic yield.

Main Results:

  • Most parameters were comparable across DBE, SBE, and SE.
  • SE demonstrated shorter procedure duration; DBE showed a superior complete enteroscopy rate.
  • Diagnostic and therapeutic yields were not significantly increased by complete enteroscopy.

Conclusions:

  • DBE, SBE, and SE appear equally effective and safe for clinical use.
  • The choice of DE technique should consider availability and endoscopist experience.
  • Larger trials are needed to fully assess procedural characteristics and clinical impact.