Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience
Abstract Objective Evaluation and management of small bowel disorders have always been challenging due to the limitations of the existing technology. Motorized power spiral enteroscopy (PSE) is an innovative new technique that offers easier, faster, and more complete small bowel evaluation with the...
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Wiley
2023-04-01
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| Online Access: | https://doi.org/10.1002/deo2.148 |
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| author | Pankaj Singh Vikas Singla Sawan Bopanna Muzaffer Rashid Shawl Pallavi Garg Jatin Agrawal Anupama Arya Vibhuti Mittal Richa Bhargava Kaushal Madan |
| author_facet | Pankaj Singh Vikas Singla Sawan Bopanna Muzaffer Rashid Shawl Pallavi Garg Jatin Agrawal Anupama Arya Vibhuti Mittal Richa Bhargava Kaushal Madan |
| author_sort | Pankaj Singh |
| collection | DOAJ |
| description | Abstract Objective Evaluation and management of small bowel disorders have always been challenging due to the limitations of the existing technology. Motorized power spiral enteroscopy (PSE) is an innovative new technique that offers easier, faster, and more complete small bowel evaluation with the ability to perform therapeutics. We aimed to evaluate the safety and efficacy of PSE in various indications. Methods Retrospective analysis of prospectively collected data of consecutive patients, who underwent PSE at a tertiary care center. Primary outcome measures were technical success rate, pan‐enteroscopy rate, diagnostic and therapeutic yield, and the secondary outcomes measures were the depth of maximal insertion, median insertion time, and adverse events. Results Fifty‐four patients (mean age of 49.38 ± 16.26 years) underwent PSE for small bowel evaluation. Technical success rate was 95.55% (antegrade route) and 93.10% (retrograde route). Pan‐enteroscopy rate is 46.29% and antegrade enteroscopy to the cecum was achieved in eight patients. Overall diagnostic and therapeutic yields were 85.18% and 30.76%, respectively. The most common findings were ulcero‐stricturing lesions (51.92%) followed by vascular lesions (9.61%). The most common histopathologic diagnosis was Crohn's disease in 29.62%. Median depth of maximal insertion was 400 cm (range 150–550 cm; antegrade route) and 180 cm (range 50–350 cm; retrograde route). The median insertion time to depth of maximal insertion was 70 min (range 30–110 min; antegrade route) and 45 min (range 20–70 min; retrograde route). PSE‐associated major adverse events occurred in one patient and minor adverse events were seen in 48.14%. Conclusion PSE is a safe and effective modality for the evaluation of small bowel disorders with a high diagnostic yield. |
| format | Article |
| id | doaj-art-17c9a34db72d43d5a36f9fca8a1ab6d9 |
| institution | Kabale University |
| issn | 2692-4609 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-17c9a34db72d43d5a36f9fca8a1ab6d92025-08-20T03:49:41ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.148Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experiencePankaj Singh0Vikas Singla1Sawan Bopanna2Muzaffer Rashid Shawl3Pallavi Garg4Jatin Agrawal5Anupama Arya6Vibhuti Mittal7Richa Bhargava8Kaushal Madan9Centre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaDepartment of Pathology Max Super Speciality Hospital New Delhi IndiaDepartment of Pathology Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaCentre for Gastroenterology, Hepatology and Endoscopy Max Super Speciality Hospital New Delhi IndiaAbstract Objective Evaluation and management of small bowel disorders have always been challenging due to the limitations of the existing technology. Motorized power spiral enteroscopy (PSE) is an innovative new technique that offers easier, faster, and more complete small bowel evaluation with the ability to perform therapeutics. We aimed to evaluate the safety and efficacy of PSE in various indications. Methods Retrospective analysis of prospectively collected data of consecutive patients, who underwent PSE at a tertiary care center. Primary outcome measures were technical success rate, pan‐enteroscopy rate, diagnostic and therapeutic yield, and the secondary outcomes measures were the depth of maximal insertion, median insertion time, and adverse events. Results Fifty‐four patients (mean age of 49.38 ± 16.26 years) underwent PSE for small bowel evaluation. Technical success rate was 95.55% (antegrade route) and 93.10% (retrograde route). Pan‐enteroscopy rate is 46.29% and antegrade enteroscopy to the cecum was achieved in eight patients. Overall diagnostic and therapeutic yields were 85.18% and 30.76%, respectively. The most common findings were ulcero‐stricturing lesions (51.92%) followed by vascular lesions (9.61%). The most common histopathologic diagnosis was Crohn's disease in 29.62%. Median depth of maximal insertion was 400 cm (range 150–550 cm; antegrade route) and 180 cm (range 50–350 cm; retrograde route). The median insertion time to depth of maximal insertion was 70 min (range 30–110 min; antegrade route) and 45 min (range 20–70 min; retrograde route). PSE‐associated major adverse events occurred in one patient and minor adverse events were seen in 48.14%. Conclusion PSE is a safe and effective modality for the evaluation of small bowel disorders with a high diagnostic yield.https://doi.org/10.1002/deo2.148antegrade and retrograde enteroscopyballoon‐assisted enteroscopypan‐enteroscopypower spiral enteroscopysmall‐bowel diseases |
| spellingShingle | Pankaj Singh Vikas Singla Sawan Bopanna Muzaffer Rashid Shawl Pallavi Garg Jatin Agrawal Anupama Arya Vibhuti Mittal Richa Bhargava Kaushal Madan Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience DEN Open antegrade and retrograde enteroscopy balloon‐assisted enteroscopy pan‐enteroscopy power spiral enteroscopy small‐bowel diseases |
| title | Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience |
| title_full | Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience |
| title_fullStr | Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience |
| title_full_unstemmed | Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience |
| title_short | Safety and efficacy of the novel motorized power spiral enteroscopy: A single‐center experience |
| title_sort | safety and efficacy of the novel motorized power spiral enteroscopy a single center experience |
| topic | antegrade and retrograde enteroscopy balloon‐assisted enteroscopy pan‐enteroscopy power spiral enteroscopy small‐bowel diseases |
| url | https://doi.org/10.1002/deo2.148 |
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