Multicenter comparison of double‐balloon enteroscopy and spiral enteroscopy. Issue 6 (22nd May 2013)

• Record Type: Journal Article
• Authors: Rahmi, Gabriel; Samaha, Elia; Vahedi, Kouroche; Ponchon, Thierry; Fumex, Fabien; Filoche, Bernard; Gay, Gerard; Delvaux, Michel; Lorenceau‐Savale, Camille; Malamut, Georgia; Canard, Jean‐Marc; Chatellier, Gilles; Cellier, Christophe
• Is Part Of: Journal of gastroenterology and hepatology. Volume 28:Issue 6(2013:Jun.)
• Page Start: 992
• Page End: 998
• Publication Date: 2013-05-22
• Subjects: Gastroenterology -- Periodicals; Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; Gastroenterology -- Periodicals; Liver Diseases -- Periodicals; 616.33
• DOI: 10.1111/jgh.12188
• Languages: English
• ISSNs: 0815-9319

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jgh12188-sec-0001" sec-type="section"> <title>Background and Aim</title> <p>Spiral enteroscopy is a novel technique for small bowel exploration. The aim of this study is to compare double‐balloon and spiral enteroscopy in patients with suspected small bowel lesions.</p> </sec> <sec id="jgh12188-sec-0002" sec-type="section"> <title>Methods</title> <p>Patients with suspected small bowel lesion diagnosed by capsule endoscopy were prospectively included between September 2009 and December 2010 in five tertiary‐care academic medical centers.</p> </sec> <sec id="jgh12188-sec-0003" sec-type="section"> <title>Results</title> <p>After capsule endoscopy, 191 double‐balloon enteroscopy and 50 spiral enteroscopies were performed. Indications were obscure gastrointestinal bleeding in 194 (80%) of cases. Lesions detected by capsule endoscopy were mainly angioectasia. Double‐balloon and spiral enteroscopy resulted in finding one or more lesions in 70% and 75% of cases, respectively. The mean diagnosis procedure time and the average small bowel explored length during double‐balloon and spiral enteroscopy were, respectively, 60 min (45–80) and 55 min (45–80) (<italic>P</italic> = 0.74), and 200 cm (150–300) and 220 cm (200–300) (<italic>P</italic> = 0.13). Treatment during double‐balloon and spiral enteroscopy was possible in 66% and 70% of cases, respectively. There was no significant major procedure‐related complication.</p> </sec> <sec id="jgh12188-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Spiral enteroscopy appears as safe as double‐balloon enteroscopy for small bowel exploration with a similar diagnostic and therapeutic yield. Comparison between the two procedures in terms of duration and length of small bowel explored is slightly in favor of spiral enteroscopy but not significantly.</p> </sec> </abstract>