Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures
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...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2023-10-01
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| Series: | Gastroenterology & Endoscopy |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949752323000407 |
| _version_ | 1797235420266758144 |
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| author | A. Sportes M. Hamid T. Gharbit J.F. Rey |
| author_facet | A. Sportes M. Hamid T. Gharbit J.F. Rey |
| author_sort | A. Sportes |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T16:47:40Z |
| format | Article |
| id | doaj.art-bb0604b17ffd46f9986a5745b4f7a74f |
| institution | Directory Open Access Journal |
| issn | 2949-7523 |
| language | English |
| last_indexed | 2024-04-24T16:47:40Z |
| publishDate | 2023-10-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Gastroenterology & Endoscopy |
| spelling | doaj.art-bb0604b17ffd46f9986a5745b4f7a74f2024-03-29T05:51:59ZengKeAi Communications Co., Ltd.Gastroenterology & Endoscopy2949-75232023-10-0114176182Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 proceduresA. Sportes0M. Hamid1T. Gharbit2J.F. Rey3Institut Arnault Tzanck, 116 rue du commandant Cahuzac, 06700, Saint Laurent du var, FranceInstitut Arnault Tzanck, 116 rue du commandant Cahuzac, 06700, Saint Laurent du var, FranceInstitut Arnault Tzanck, 116 rue du commandant Cahuzac, 06700, Saint Laurent du var, FranceCorresponding author. 116 rue du commandant Cahuzac, 06700, Saint Laurent du var, France.; Institut Arnault Tzanck, 116 rue du commandant Cahuzac, 06700, Saint Laurent du var, FranceObjectives: 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.http://www.sciencedirect.com/science/article/pii/S2949752323000407EnteroscopyDouble balloon enteroscopySingle balloon enteroscopyMotorized spiral enteroscopy |
| spellingShingle | A. Sportes M. Hamid T. Gharbit J.F. Rey Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures Gastroenterology & Endoscopy Enteroscopy Double balloon enteroscopy Single balloon enteroscopy Motorized spiral enteroscopy |
| title | Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures |
| title_full | Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures |
| title_fullStr | Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures |
| title_full_unstemmed | Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures |
| title_short | Motorized spiral enteroscopy in clinical practice: Benefits and results in a single-center cohort study of 204 procedures |
| title_sort | motorized spiral enteroscopy in clinical practice benefits and results in a single center cohort study of 204 procedures |
| topic | Enteroscopy Double balloon enteroscopy Single balloon enteroscopy Motorized spiral enteroscopy |
| url | http://www.sciencedirect.com/science/article/pii/S2949752323000407 |
| work_keys_str_mv | AT asportes motorizedspiralenteroscopyinclinicalpracticebenefitsandresultsinasinglecentercohortstudyof204procedures AT mhamid motorizedspiralenteroscopyinclinicalpracticebenefitsandresultsinasinglecentercohortstudyof204procedures AT tgharbit motorizedspiralenteroscopyinclinicalpracticebenefitsandresultsinasinglecentercohortstudyof204procedures AT jfrey motorizedspiralenteroscopyinclinicalpracticebenefitsandresultsinasinglecentercohortstudyof204procedures |