Motorized spiral enteroscopy versus double-balloon enteroscopy: a case-matched study

Post written by Ravishankar Asokkumar, MBBS, FRCP, FASGE, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and the Division of Medicine, DUKE-NUS Graduate Medical School, Singapore. Evaluation of the small intestine can be tedious and challenging because of its anatomical nature. For a long time, double-balloon enteroscopy (DBE) has been considered the gold standard …

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Diagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn’s disease: a prospective study (with video)

Post written by Partha Pal, MD, DNB, MRCP (UK), from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. In this study, we compared single-balloon enteroscopy with motorized spiral enteroscopy in suspected Crohn’s disease (CD) in a prospective manner. We aimed to compare the technical success, diagnostic yield, depth of maximal insertion, enteroscopy time, …

Continue reading Diagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn’s disease: a prospective study (with video)

Mid-gut exploration: video-capsule endoscopy cannot always determine the insertion route of device-assisted enteroscopy

Post written by Michael Fernandez Y Viesca, MD, from the Department of Gastroenterology Hepatopancreatology and Digestive Oncology, Erasme Hospital, Brussels, Belgium. This video case shows how challenging it can be to choose the correct insertion route (anterograde vs retrograde) before an enteroscopy based on video-capsule time index landmarks. Indeed, these time indexes are not always reliable …

Continue reading Mid-gut exploration: video-capsule endoscopy cannot always determine the insertion route of device-assisted enteroscopy

Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. ERCP is considered challenging in patients with surgically altered anatomy. Procedural outcomes using a conventional endoscope have not been satisfactory. A short-type single-balloon enteroscopy (short SBE)–assisted ERCP has been reported as useful in patients with …

Continue reading Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan

Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders

Post written by Mohan Ramchandani, MD, DM, from the Department of Gastroenterology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The small bowel is long mobile organ in the peritoneum, which makes it difficult to be evaluated by conventional endoscopy. Deep enteroscopy (DE) is a cumbersome procedure; there are many shortcomings of balloon-assisted enteroscopy (BAE), which …

Continue reading Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders

Use of a rigidizing overtube to complete an incomplete colonoscopy

Post written by Mike T. Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto California. We present a case of a 64-year-old man with history of C5 spinal cord injury who presented for screening colonoscopy. Unfortunately, due to significant looping, the colonoscope was only able to reach the transverse colon. The colonoscope …

Continue reading Use of a rigidizing overtube to complete an incomplete colonoscopy

Motorized spiral enteroscope-assisted retrieval of video capsule in a patient with Crohn’s disease

Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. We describe a case of  young man with history of chronic kidney disease on maintenance hemodialysis. He underwent capsule endoscopy (CE) 6 months ago for evaluation of obscure occult gastrointestinal bleeding requiring multiple transfusions. CE revealed ileal stricture, …

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Blue rubber bleb nevus syndrome in a 10-year-old child treated with loop ligation facilitated by double-balloon enteroscopy

Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD(Res), from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Hampstead, London, United Kingdom. This short video demonstrates the usefulness of loop ligation facilitated by double-balloon enteroscopy (DBE) for endotherapy of gastrointestinal …

Continue reading Blue rubber bleb nevus syndrome in a 10-year-old child treated with loop ligation facilitated by double-balloon enteroscopy

Surgical clip removal using short-type single-balloon enteroscope

Post written by Hideaki Koga, MD and Akio Katanuma, MD from the Center for Gastroenterology at Teine-Keijinkai Hospital in Sapporo, Japan. A 76-year-old man who underwent laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy presented with repeated cholangitis. CT showed mild dilation of the bile duct with an enhancing wall, and the surgical clips after LC located near …

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Endoscopic management of malignant ileovesicular fistula

Toufic Kachaamy, MD, from the Western Regional Medical Center at Cancer Treatment Center of America, Goodyear, Arizona, USA, presents this video case "Successful endoscopic management of a malignant ileovesicular fistula." A 56-year-old man with history of metastatic colon cancer and prior treatment with subtotal colectomy, ileostomy, and multiple lines of chemotherapy presented with a few …

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