MOTORIZED SPIRAL ENTEROSCOPY – A SINGLE TERTIARY CENTER EXPERIENCE

Aims The purpose of our study was to evaluate efficiency and safety of motorized spiral enteroscopy (PSE, PowerSpiral Enteroscopy) in routine clinical setting.

Methods We prospectively evaluated all consecutive patients investigated by PSE in our tertiary endoscopy center between July 2019 and October 2021.

Results A total of 62 examinations in 47 patients (55% males, mean age 58±18 years) were performed. Indication for PSE were symptoms with suspected small bowel disease (29), bleeding with positive capsule enteroscopy (17), Crohn´s disease (6), celiac disease (2), hepaticojejunostomy (3) and others (4). Technical success, defined as insertion of the spiral beyond duodenojenal flexure or ileocecal valve, was achieved in 95% (59/62) of cases. In 87% (55/62) of cases, depth of insertion was considered sufficient. Diagnostic yield was 93% (41/44) of patients after exclusion follow-up procedures. Total enteroscopy was indicated in 11 patients and it was achieved in 82% (9/11), either by antegrade in 2 or by combined approach in 7 cases. Major complications occurred in 2 patients (3% of procedures). One patient suffered from mild acute pancreatitis after total enteroscopy. There was one intussusception of the sigmoid during endoscope withdrawal resolved by parallel insertion of colonoscope.

Conclusions In our series, PSE shows high technical success rate of antegrade, retrograde and total enteroscopy, high diagnostic yield and low occurrence of significant complications.

Endoscopy beyond the lumen15:30–16:30

Saturday, 30 April 2022Club H

Publication History

Article published online:
14 April 2022