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Device-assisted enteroscopy: An update on techniques, clinical indications and safety
Marco Pennazio1, Ludovica Venezia1, Pablo Cortegoso Valdivia1
1University Division of Gastroenterology, Department of Medical Sciences, University of Turin, City of Health and Science, Italy.
Summary
Device-assisted enteroscopy (DAE) has expanded its clinical uses beyond initial indications. DAE is a safe and effective treatment for small bowel conditions, even in elderly patients when performed in experienced centers.
Area of Science:
- Gastroenterology
- Endoscopy
- Minimally Invasive Procedures
Background:
- Device-assisted enteroscopy (DAE) has been clinically available for over 15 years.
- Initial indications for DAE have significantly broadened over time.
- Technical advancements in enteroscopes and accessories have driven DAE's expanded use.
Purpose of the Study:
- To review the expanded indications and applications of device-assisted enteroscopy.
- To highlight the safety and efficacy of DAE as an alternative to surgery.
- To discuss future challenges and research directions for DAE.
Main Methods:
- Review of clinical practice and literature on device-assisted enteroscopy.
- Analysis of expanded indications including complex procedures.
- Evaluation of safety and efficacy data, particularly in specific patient populations.
Main Results:
- DAE is now widely used for diagnosing and treating small bowel bleeding, Crohn's disease, polyposis, tumors, and celiac disease.
- DAE is increasingly utilized for endoscopic retrograde cholangiopancreatography, stent procedures, foreign body retrieval, and feeding tube placement.
- DAE endotherapy is a safe and effective alternative to surgery for small bowel pathology, with a favorable safety profile in the elderly when performed in experienced centers.
Conclusions:
- Device-assisted enteroscopy has evolved into a versatile tool with significantly expanded clinical applications.
- DAE offers a safe and effective therapeutic option for various small bowel pathologies, often replacing surgical interventions.
- Future advancements and rigorous studies are needed to fully assess the long-term impact and optimize complex DAE procedures.
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