Gastroenterology & Endoscopy (Oct 2023)
Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures
Abstract
Objectives: The aim of this paper relies on our clinical experience in a single center with an evaluation of feasibility, clinical benefits, and safety in daily practice based on diagnosis and therapeutic yield using a newly designed Motorized Spiral Enteroscope (MSE) marked by Olympus. Method: All examinations were conducted in the usual endoscopy suite with patients in the left lateral position with deep propofol sedation monitored by an anesthesiologist (bolus 2 mg/kg then 0.5 mg/kg on demand with mean total dose 300 mg (225.6–386 mg). For the anal route, MSE was performed on the X-ray table in order to monitor colonic passage and ileocecal intubation. Inflation was carried out with CO2 used. Results: From June 2019 to July 2022, 204 procedures have been carried out. 188 patients were involved as repeated MSE was required due to multiple bleeding (male 111, 57.1%, female 87, 46.2%). In all cases, we considered a successful MSE when the enteroscope was deeply inserted in the ileum and achieved diagnosis or therapeutic indications as an endpoint (195 patients, 95.5%). Diagnostic yield was achieved in 134 procedures (65.7%).Time to deep insertion was 11:36 ± 05.05 min, and the total procedure time was 22:07 ± 07:25 min. Minor mucosal damage occurred in 59 patients (28.9%). Conclusions: In our 204 procedures MSE is a safe and useful new tool in routine clinical practice with an overall benefit for our patients.
