Diagnostic yield of deep enteroscopy techniques for small-bowel bleeding and tumors

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Endoscopic evaluation and management with deep enteroscopy techniques have largely replaced the role of intraoperative enteroscopy in the management of small-bowel (SB) disorders. While capsule endoscopy (CE) enables visualization of the entire SB, therapeutic deep enteroscopy techniques (balloon-assisted enteroscopy and spiral enteroscopy) facilitate diagnostic and therapeutic management deep within the SB. CE is currently recommended as the third test of choice in the evaluation of obscure gastrointestinal bleeding after a negative bidirectional endoscopy. The test also has a role in the diagnosis of SB tumors and surveillance of familial polyposis syndromes. Therapeutic deep enteroscopy techniques are mainly used for evaluation and management of CE findings, but they may also have a role in patients with a negative CE but high clinical suspicion for an SB disorder. Because preliminary data suggest a comparable diagnostic and therapeutic yield with double-balloon, single-balloon, and spiral enteroscopy, selection of the enteroscope should be based on availability and the endoscopist's experience with the technique.

Original languageEnglish (US)
Pages (from-to)100-105
Number of pages6
JournalTechniques in Gastrointestinal Endoscopy
Volume14
Issue number2
DOIs
StatePublished - Apr 2012

Fingerprint

Capsule Endoscopy
Hemorrhage
Neoplasms
Adenomatous Polyposis Coli
Therapeutics
Endoscopy

Keywords

  • Balloon-assisted enteroscopy
  • Capsule endoscopy
  • Deep enteroscopy
  • Double-balloon enteroscopy
  • Obscure gastrointestinal bleeding
  • Polyposis syndromes
  • Single-balloon enteroscopy
  • Small-bowel disorders
  • Small-bowel tumors
  • Spiral enteroscopy

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Diagnostic yield of deep enteroscopy techniques for small-bowel bleeding and tumors. / Pasha, Shabana F.

In: Techniques in Gastrointestinal Endoscopy, Vol. 14, No. 2, 04.2012, p. 100-105.

Research output: Contribution to journalArticle

@article{da76b802f4d64b569e8f040fe0e733f3,
title = "Diagnostic yield of deep enteroscopy techniques for small-bowel bleeding and tumors",
abstract = "Endoscopic evaluation and management with deep enteroscopy techniques have largely replaced the role of intraoperative enteroscopy in the management of small-bowel (SB) disorders. While capsule endoscopy (CE) enables visualization of the entire SB, therapeutic deep enteroscopy techniques (balloon-assisted enteroscopy and spiral enteroscopy) facilitate diagnostic and therapeutic management deep within the SB. CE is currently recommended as the third test of choice in the evaluation of obscure gastrointestinal bleeding after a negative bidirectional endoscopy. The test also has a role in the diagnosis of SB tumors and surveillance of familial polyposis syndromes. Therapeutic deep enteroscopy techniques are mainly used for evaluation and management of CE findings, but they may also have a role in patients with a negative CE but high clinical suspicion for an SB disorder. Because preliminary data suggest a comparable diagnostic and therapeutic yield with double-balloon, single-balloon, and spiral enteroscopy, selection of the enteroscope should be based on availability and the endoscopist's experience with the technique.",
keywords = "Balloon-assisted enteroscopy, Capsule endoscopy, Deep enteroscopy, Double-balloon enteroscopy, Obscure gastrointestinal bleeding, Polyposis syndromes, Single-balloon enteroscopy, Small-bowel disorders, Small-bowel tumors, Spiral enteroscopy",
author = "Pasha, {Shabana F}",
year = "2012",
month = "4",
doi = "10.1016/j.tgie.2012.02.001",
language = "English (US)",
volume = "14",
pages = "100--105",
journal = "Techniques in Gastrointestinal Endoscopy",
issn = "1096-2883",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Diagnostic yield of deep enteroscopy techniques for small-bowel bleeding and tumors

AU - Pasha, Shabana F

PY - 2012/4

Y1 - 2012/4

N2 - Endoscopic evaluation and management with deep enteroscopy techniques have largely replaced the role of intraoperative enteroscopy in the management of small-bowel (SB) disorders. While capsule endoscopy (CE) enables visualization of the entire SB, therapeutic deep enteroscopy techniques (balloon-assisted enteroscopy and spiral enteroscopy) facilitate diagnostic and therapeutic management deep within the SB. CE is currently recommended as the third test of choice in the evaluation of obscure gastrointestinal bleeding after a negative bidirectional endoscopy. The test also has a role in the diagnosis of SB tumors and surveillance of familial polyposis syndromes. Therapeutic deep enteroscopy techniques are mainly used for evaluation and management of CE findings, but they may also have a role in patients with a negative CE but high clinical suspicion for an SB disorder. Because preliminary data suggest a comparable diagnostic and therapeutic yield with double-balloon, single-balloon, and spiral enteroscopy, selection of the enteroscope should be based on availability and the endoscopist's experience with the technique.

AB - Endoscopic evaluation and management with deep enteroscopy techniques have largely replaced the role of intraoperative enteroscopy in the management of small-bowel (SB) disorders. While capsule endoscopy (CE) enables visualization of the entire SB, therapeutic deep enteroscopy techniques (balloon-assisted enteroscopy and spiral enteroscopy) facilitate diagnostic and therapeutic management deep within the SB. CE is currently recommended as the third test of choice in the evaluation of obscure gastrointestinal bleeding after a negative bidirectional endoscopy. The test also has a role in the diagnosis of SB tumors and surveillance of familial polyposis syndromes. Therapeutic deep enteroscopy techniques are mainly used for evaluation and management of CE findings, but they may also have a role in patients with a negative CE but high clinical suspicion for an SB disorder. Because preliminary data suggest a comparable diagnostic and therapeutic yield with double-balloon, single-balloon, and spiral enteroscopy, selection of the enteroscope should be based on availability and the endoscopist's experience with the technique.

KW - Balloon-assisted enteroscopy

KW - Capsule endoscopy

KW - Deep enteroscopy

KW - Double-balloon enteroscopy

KW - Obscure gastrointestinal bleeding

KW - Polyposis syndromes

KW - Single-balloon enteroscopy

KW - Small-bowel disorders

KW - Small-bowel tumors

KW - Spiral enteroscopy

UR - http://www.scopus.com/inward/record.url?scp=84860361447&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84860361447&partnerID=8YFLogxK

U2 - 10.1016/j.tgie.2012.02.001

DO - 10.1016/j.tgie.2012.02.001

M3 - Article

AN - SCOPUS:84860361447

VL - 14

SP - 100

EP - 105

JO - Techniques in Gastrointestinal Endoscopy

JF - Techniques in Gastrointestinal Endoscopy

SN - 1096-2883

IS - 2

ER -