Small-bowel transection after peroral motorized spiral enteroscopy

Post written by Partha Pal, MD, DNB, MRCP (UK), from the Asian Institute of Gastroenterology, Hyderabad, India. This case describes a very rare instance of small-bowel transection (<1:1400 in our experience) after antegrade motorized spiral enteroscopy (MSE). The unpredictable adverse event was encountered during withdrawal of the enteroscope with the spiral overtube because of impaction …

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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 …

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

Clinical utility of purgative bowel preparation before capsule endoscopy: a multicenter, blinded, randomized controlled trial

Post written by Mehul Lamba, FRACP, from the Department of Gastroenterology and Hepatology, Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia. Capsule endoscopy (CE) is an investigation of choice for the assessment of suspected small intestinal bleeding. Because CE lacks the ability to wash or suction intestinal contents, diagnostic utility is reliant on adequate small-bowel preparation. …

Continue reading Clinical utility of purgative bowel preparation before capsule endoscopy: a multicenter, blinded, randomized controlled trial

Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction

Post written by Donevan Westerveld, MD, from the Division of Gastroenterology & Hepatology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. A high-grade malignant small-bowel obstruction (SBO) is typically managed with surgical diversion (ileostomy) or palliative decompression via nasogastric tube or venting gastrostomy. These approaches have a significant impact on a patient’s quality of …

Continue reading Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction

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