Device-assisted enteroscopy: Are we ready to dismiss the spiral?  

作　　者：Alessandro Mussetto Elettra Merola Cesare Casadei Daniele Salvi Fabiola Fornaroli Silvia Cocca Margherita Trebbi Armando Gabbrielli Cristiano Spada Andrea Michielan 

机构地区：[1]Department of Gastroenterology,S Maria della Croci Hosp,Ravenna 48121,Italy [2]Department of Gastroenterology Unit,G.B.Grassi Hospital(ASL Roma 3),Roma 00122,Italy [3]Section of Digestive Endoscopy and Gastroenterology,Fondazione Poliambulanza,Brescia 25124,Italy [4]Gastroenterology and Endoscopy Unit,Department of Medicine and Surgery,University of Parma,Parma 43125,Italy [5]Gastroenterology and Endoscopy Unit,Azienda Ospedaliero Universitaria Policlinico di Modena,Modena 41121,Italy [6]Center for Medical Sciences(CISMed),University of Trento,Trento 38122,Italy [7]Gastroenterology and Digestive Endoscopy Unit,Santa Chiara Hospital,Azienda Provinciale per i Servizi Sanitari,Trento 38122,Italy [8]Digestive Endoscopy Unit,Fondazione Policlinico Universitario A.Gemelli IRCSS,Roma 00168,Italy

出　　处：《World Journal of Gastroenterology》2024年第26期3185-3192,共8页世界胃肠病学杂志（英文版）

摘　　要：Motorized spiral enteroscopy(MSE)is the latest advance in device-assisted enteroscopy.Adverse events related to MSE were discussed in a recent large systematic review and meta-analysis and were directly compared with those of balloon enteroscopy in a case-matched study and a randomized controlled trial.Following the real-life application of MSE,an unexpected safety issue emerged regarding esophageal injury and the technique has been withdrawn from the global market,despite encouraging results in terms of diagnostic and therapeutic yield.We conducted an Italian multicenter real-life prospective study,which was prematurely terminated after the withdrawal of MSE from the market.The primary goals were the evaluation of MSE performance(both diagnostic and therapeutic)and its safety in routine endoscopic practice,particularly in the early phase of introduction in the endoscopic unit.A subanalysis,which involved patients who underwent MSE after unsuccessful balloon enteroscopy,demonstrated,for the first time,the promising performance of MSE as a rescue procedure.Given its remarkable performance in clinical practice and its potential role as a backup technique following a previously failed enteroscopy,it may be more appropriate to refine and enhance MSE in the future rather than completely abandoning it.

关 键 词：Motorized spiral enteroscopy Rescue enteroscopy Diagnostic yield Adverse events AGREE classification 

分 类 号：R574[医药卫生—消化系统]