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Motorized spiral enteroscopy: effectiveness when used for new indications.

H Colin1, A Donati2, L Monino1

  • 1Cliniques universitaires Saint-Luc, Gastroenterology and Hepatology, Brussels, Belgium.

Acta Gastro-Enterologica Belgica
|July 10, 2023
PubMed
Summary
This summary is machine-generated.

Motorized spiral enteroscopy (PSF-1) shows potential for less common indications like post-gastric bypass endoscopy and enteroscopy-assisted ERCP. While technical success rates are lower for these secondary uses, adverse events remain minimal.

Keywords:
ERCPMotorized spiral enteroscopyaltered anatomyincomplete colonoscopypan-enteroscopy

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Surgical Innovation

Background:

  • Motorized spiral enteroscopy is established for antegrade and retrograde procedures.
  • Its utility in less common clinical scenarios remains largely unexplored.

Purpose of the Study:

  • To identify and evaluate novel indications for the PSF-1 motorized spiral enteroscope.
  • To assess the feasibility and outcomes of PSF-1 in secondary, less conventional applications.

Main Methods:

  • A retrospective analysis of 115 patients undergoing PSF-1 enteroscopy from January 2020 to December 2022.
  • Comparison of outcomes between conventional and secondary indications for PSF-1 use.

Main Results:

  • 41% of PSF-1 procedures were for secondary indications, including enteroscopy-assisted ERCP (22%) and post-Roux-en-Y gastric bypass endoscopy (7%).
  • Technical success rates for secondary indications (72.5%) were significantly lower than for conventional indications (98-100%, p<0.001).
  • Minor adverse events occurred in 15% of patients, all managed conservatively.

Conclusions:

  • The PSF-1 motorized spiral enteroscope is effective for secondary indications such as completing colonoscopies, accessing excluded stomachs, and performing enteroscopy-assisted ERCP in altered anatomy.
  • While technical success is reduced in these novel applications, the procedure is associated with only minor adverse events.