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Published in: Surgical Endoscopy 2/2013

01-02-2013 | New Technology

Prospective study of therapeutic spiral enteroscopy in patients with surgically altered anatomy

Authors: James Buxbaum, Michael Kline, Robert Selby

Published in: Surgical Endoscopy | Issue 2/2013

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Abstract

Background

Spiral enteroscopy is rapidly emerging, along with double- and single-balloon enteroscopy, as a paramount method to evaluate lesions in the deep small bowel. While the latter two methods have been used to manage patients with surgically altered anatomy, there are few reports on the role of spiral enteroscopy in this group. Our principal aim was to characterize the therapeutic uses of spiral enteroscopy in patients with surgically altered anatomy.

Methods and results

Patients with surgically altered anatomy who failed management with conventional endoscopic methods for therapeutic indications were included in this prospective series at our tertiary referral center. The spiral technique was used to control variceal bleeding, dilate enteral anastomotic narrowing, and perform pancreaticobiliary interventions in seven patients. The cases were performed quickly and effectively and the need for surgery was obviated in all cases.

Conclusion

The spiral enteroscopy system has significant therapeutic potential in patients with surgically altered anatomy.
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Metadata
Title
Prospective study of therapeutic spiral enteroscopy in patients with surgically altered anatomy
Authors
James Buxbaum
Michael Kline
Robert Selby
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 2/2013
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-012-2485-z

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