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Update in enteroscopy: New devices and new indications
1Gastroenterology & Hepatology, University Hospital Saint-Luc, Brussels, Belgium.
Device-assisted enteroscopy (DAE) innovations enhance deep small bowel access and interventions. Further research is needed to compare new DAE types for specific clinical applications.
Area of Science:
- Gastroenterology
- Endoscopy
- Medical Devices
Background:
- Device-assisted enteroscopy (DAE) has evolved with new single- and double-balloon enteroscopes.
- These advancements aim to increase insertion depth and improve the efficiency of endoscopic interventions in the small bowel.
Purpose of the Study:
- To review current device-assisted enteroscopy (proto-)types and their capabilities.
- To highlight emerging indications and applications of DAE, including in pediatrics and altered anatomy.
Main Methods:
- Literature review of recent advancements in DAE technology.
- Analysis of current data on DAE applications and outcomes.
Main Results:
- DAE now enables most conventional endoscopic procedures, expanding its clinical utility.
- New data support DAE in pediatric cases, colonoscopy, and complex scenarios like ERCP in altered anatomy.
Conclusions:
- While new DAE enteroscopes are emerging, comparative studies are limited.
- The endoscopy community must initiate research to determine optimal DAE selection for various indications.
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