Update in enteroscopy: New devices and new indications

Moreels, Tom G.

doi:10.1111/den.12920

Cited by 29 publications

(17 citation statements)

References 65 publications

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“…As compared to CE, DAE allows tissue sampling and endoscopic treatment (Table , Fig. ) . In the last few years, new indications have emerged, including biliary tract diagnostics/therapeutics in liver transplant recipients or in patients with altered anatomy …”

Section: Enteroscopy: a Powerful Weapon To Solve Big Problems In The mentioning

confidence: 99%

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Endoscopic ultrasonography and small‐bowel endoscopy: Present and future

Tontini

Manfredi

Orlando

et al. 2019

Digestive Endoscopy

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Over the last decade, impressive technological advances have occurred in ultrasonography and small‐bowel endoscopy. Nowadays, endoscopic ultrasonography is an essential diagnostic tool and a therapeutic weapon for pancreatobiliary disorders. Capsule endoscopy and device‐assisted enteroscopy have quickly become the reference standard for the diagnosis of small‐bowel luminal diseases, thereby leading to radical changes in diagnostic and therapeutic pathways. We herein provide an up‐to‐date overview of the latest advances in endoscopic ultrasonography and small‐bowel endoscopy, focusing on the emerging paradigms and technological innovations that might improve clinical practice in the near future.

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Section: Enteroscopy: a Powerful Weapon To Solve Big Problems In The mentioning

confidence: 99%

“…4). 103,174 In the last few years, new indications have emerged, including biliary tract diagnostics/therapeutics in liver transplant recipients or in patients with altered anatomy. 172 Device-assisted enteroscopy includes double-balloon enteroscopy (DBE), single-balloon enteroscopy (SBE) and spiral enteroscopy.…”

Section: Device-assisted Enteroscopymentioning

confidence: 99%

Endoscopic ultrasonography and small‐bowel endoscopy: Present and future

Tontini

Manfredi

Orlando

et al. 2019

Digestive Endoscopy

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“…The introduction of endoscopic papillary large balloon dilation (EPLBD) enables easy and safe extraction of large bile duct stones . In addition, new short‐type balloon enteroscopes with a 3.2‐mm working channel, SIF‐H290S (Olympus, Tokyo, Japan) and EI‐580BT (Fujifilm, Tokyo, Japan), are now commercially available, which allow the use of most stone extraction devices.…”

Section: A General Approach To Bile Duct Stones In Patients With Surgmentioning

confidence: 99%

Endoscopic management of bile duct stones in patients with surgically altered anatomy

Nakai

Kogure

Yamada

et al. 2018

Digestive Endoscopy

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Bile duct stones in patients with surgically altered anatomy still pose a challenge to endoscopists. For successful endoscopic management of bile duct stones, there are multiple hurdles: Intubation to the afferent limb, biliary cannulation, ampullary intervention and stone extraction. The major advancement in this area is the development of dedicated device-assisted endoscopes for endoscopic retrograde cholangiopancreatography (ERCP). In patients with Billroth II reconstruction, a high technical success rate is reported using a duodenoscope but can be complicated by a potentially high perforation rate. In patients with Roux-en-Y reconstruction, device-assisted ERCP shows high technical success and low adverse event rates. Meanwhile, endoscopic papillary large balloon dilation enables safe and effective stone extraction with less use of endoscopic mechanical lithotripsy in patients with a dilated distal bile duct, but intraductal lithotripsy is sometimes necessary for management of very large bile duct stones. In cases with difficult stones, alternative approaches such as laparoscopy-assisted ERCP and endoscopic ultrasound (EUS)-guided intervention are increasingly reported with preliminary but promising results. However, comparative studies are still lacking in this area and prospective randomized controlled trials are warranted in terms of safety, efficacy and cost-effectiveness.

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“…Choledocholithiasis occurs in 10–15% of patients with cholecystolithiasis . Although endoscopic approaches for the treatment of choledocholithiasis in patients with a surgically altered gastrointestinal anatomy (SAGA) have been challenging, the short‐type balloon‐assisted endoscope help to improve the endoscopic retrograde cholangiography (ERCP) success rate in patients with a SAGA . The single‐stage laparo‐endoscopic rendezvous (LER) has been described as a safe and effective method for treating patients with cholecysto‐choledocholithiasis .…”

Section: Brief Explanationmentioning

confidence: 99%