Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.

Background Motorized Spiral Enteroscopy (MSE) reduces procedure time and increases insertion depth into the small bowel; however, there is scarce evidence on factors afecting MSE efcacy. Aims To evaluate diagnostic yield and adverse events of MSE including patients with prior major abdominal surgery...

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Autores: Giordano, Antonio, Casanova, Gherzon, Escapa, Míriam, Fernández Esparrach, Glòria, Ginès i Gibert, M. Àngels, Sendino, Oriol, Araujo, Isis Karina, Cárdenas, Andrés, Córdova, Henry, Martínez Ocon, Julia, Martínez Palli, Graciela, Balaguer Prunés, Francesc, Llach Vila, Josep, Ricart, Elena, González Suárez, Begoña
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/214037
Acceso en línea:https://hdl.handle.net/2445/214037
Access Level:acceso abierto
Palabra clave:Cirurgia abdominal
Enteroscòpia
Colangiopancreaticografia retrògrada endoscòpica
Abdominal surgery
Enteroscopy
Endoscopic retrograde cholangiopancreatograph
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spelling Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.Giordano, AntonioCasanova, GherzonEscapa, MíriamFernández Esparrach, GlòriaGinès i Gibert, M. ÀngelsSendino, OriolAraujo, Isis KarinaCárdenas, AndrésCórdova, HenryMartínez Ocon, JuliaMartínez Palli, GracielaBalaguer Prunés, FrancescLlach Vila, JosepRicart, ElenaGonzález Suárez, BegoñaCirurgia abdominalEnteroscòpiaColangiopancreaticografia retrògrada endoscòpicaAbdominal surgeryEnteroscopyEndoscopic retrograde cholangiopancreatographBackground Motorized Spiral Enteroscopy (MSE) reduces procedure time and increases insertion depth into the small bowel; however, there is scarce evidence on factors afecting MSE efcacy. Aims To evaluate diagnostic yield and adverse events of MSE including patients with prior major abdominal surgery. Methods A prospective observational study was conducted on patients undergoing MSE from June 2019 to December 2021. Demographic characteristics, procedure time, depth of maximum insertion (DMI), technical success, diagnostic yield, and adverse events were collected. Results Seventy-four anterograde (54.4%) and 62 retrograde (45.6%) enteroscopies were performed in 117 patients (64 males, median age 67 years). Fifty patients (42.7%) had prior major abdominal surgery. Technical success was 91.9% for anterograde and 90.3% for retrograde route. Diagnostic yield was 71.6% and 61.3%, respectively. The median DMI was 415 cm (264–585) for anterograde and 120 cm (37–225) for retrograde enteroscopy. In patients with prior major abdominal surgery, MSE showed signifcantly longer small bowel insertion time (38 vs 29 min, p=0.004), with similar diagnostic yield (61 vs 71.4%, p=0.201) and DMI (315 vs 204 cm, p=0.226). The overall adverse event rate was 10.3% (SAE 1.5%), with no diferences related to prior abdominal surgery (p=0.598). Patients with prior surgeries directly involving the gastrointestinal tract showed lower DMI (189 vs 374 cm, p=0.019) with equal exploration time (37.5 vs 38 min, p=0.642) compared to those with other abdominal surgeries. Conclusions MSE is efective and safe in patients with major abdominal surgery, although longer procedure times were observed. A lower depth of insertion was detected in patients with gastrointestinal surgery.Springer Science + Business Media2024202420222024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfhttps://hdl.handle.net/2445/214037Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1007/s10620-022-07688-1Digestive Diseases and Sciences, 2022, vol. 68, num.4, p. 1447-1454https://doi.org/10.1007/s10620-022-07688-1cc by (c) Giordano, Antonio et al., 2022http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2140372026-05-29T05:05:01Z
dc.title.none.fl_str_mv Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
title Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
spellingShingle Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
Giordano, Antonio
Cirurgia abdominal
Enteroscòpia
Colangiopancreaticografia retrògrada endoscòpica
Abdominal surgery
Enteroscopy
Endoscopic retrograde cholangiopancreatograph
title_short Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
title_full Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
title_fullStr Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
title_full_unstemmed Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
title_sort Motorized spiral enteroscopy is effective in patients with prior abdominal surgery.
dc.creator.none.fl_str_mv Giordano, Antonio
Casanova, Gherzon
Escapa, Míriam
Fernández Esparrach, Glòria
Ginès i Gibert, M. Àngels
Sendino, Oriol
Araujo, Isis Karina
Cárdenas, Andrés
Córdova, Henry
Martínez Ocon, Julia
Martínez Palli, Graciela
Balaguer Prunés, Francesc
Llach Vila, Josep
Ricart, Elena
González Suárez, Begoña
author Giordano, Antonio
author_facet Giordano, Antonio
Casanova, Gherzon
Escapa, Míriam
Fernández Esparrach, Glòria
Ginès i Gibert, M. Àngels
Sendino, Oriol
Araujo, Isis Karina
Cárdenas, Andrés
Córdova, Henry
Martínez Ocon, Julia
Martínez Palli, Graciela
Balaguer Prunés, Francesc
Llach Vila, Josep
Ricart, Elena
González Suárez, Begoña
author_role author
author2 Casanova, Gherzon
Escapa, Míriam
Fernández Esparrach, Glòria
Ginès i Gibert, M. Àngels
Sendino, Oriol
Araujo, Isis Karina
Cárdenas, Andrés
Córdova, Henry
Martínez Ocon, Julia
Martínez Palli, Graciela
Balaguer Prunés, Francesc
Llach Vila, Josep
Ricart, Elena
González Suárez, Begoña
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Cirurgia abdominal
Enteroscòpia
Colangiopancreaticografia retrògrada endoscòpica
Abdominal surgery
Enteroscopy
Endoscopic retrograde cholangiopancreatograph
topic Cirurgia abdominal
Enteroscòpia
Colangiopancreaticografia retrògrada endoscòpica
Abdominal surgery
Enteroscopy
Endoscopic retrograde cholangiopancreatograph
description Background Motorized Spiral Enteroscopy (MSE) reduces procedure time and increases insertion depth into the small bowel; however, there is scarce evidence on factors afecting MSE efcacy. Aims To evaluate diagnostic yield and adverse events of MSE including patients with prior major abdominal surgery. Methods A prospective observational study was conducted on patients undergoing MSE from June 2019 to December 2021. Demographic characteristics, procedure time, depth of maximum insertion (DMI), technical success, diagnostic yield, and adverse events were collected. Results Seventy-four anterograde (54.4%) and 62 retrograde (45.6%) enteroscopies were performed in 117 patients (64 males, median age 67 years). Fifty patients (42.7%) had prior major abdominal surgery. Technical success was 91.9% for anterograde and 90.3% for retrograde route. Diagnostic yield was 71.6% and 61.3%, respectively. The median DMI was 415 cm (264–585) for anterograde and 120 cm (37–225) for retrograde enteroscopy. In patients with prior major abdominal surgery, MSE showed signifcantly longer small bowel insertion time (38 vs 29 min, p=0.004), with similar diagnostic yield (61 vs 71.4%, p=0.201) and DMI (315 vs 204 cm, p=0.226). The overall adverse event rate was 10.3% (SAE 1.5%), with no diferences related to prior abdominal surgery (p=0.598). Patients with prior surgeries directly involving the gastrointestinal tract showed lower DMI (189 vs 374 cm, p=0.019) with equal exploration time (37.5 vs 38 min, p=0.642) compared to those with other abdominal surgeries. Conclusions MSE is efective and safe in patients with major abdominal surgery, although longer procedure times were observed. A lower depth of insertion was detected in patients with gastrointestinal surgery.
publishDate 2022
dc.date.none.fl_str_mv 2022
2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/214037
url https://hdl.handle.net/2445/214037
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1007/s10620-022-07688-1
Digestive Diseases and Sciences, 2022, vol. 68, num.4, p. 1447-1454
https://doi.org/10.1007/s10620-022-07688-1
dc.rights.none.fl_str_mv cc by (c) Giordano, Antonio et al., 2022
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Giordano, Antonio et al., 2022
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Science + Business Media
publisher.none.fl_str_mv Springer Science + Business Media
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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