Abstract
Spiral enteroscopy is another technique available in the armamentarium of the endoscopist for the exploration of the small bowel (or difficult to intubate colon). It applies the principle of pleating the small bowel through rotation rather than push-pull as with the previous techniques. This implies a different technique and set of skills but the diagnostic and therapeutic yield, as well as safety are similar to other device-assisted methods.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akerman PA, Cantero D. Spiral enteroscopy and push enteroscopy. Gastrointest Endosc Clin N Am. 2009;19(3):357–69.
Morgan D, Upchurch B, Draganov P, Binmoeller KF, Haluszka O, Jonnalagadda S, et al. Spiral enteroscopy: Prospective u.S. Multicenter study in patients with small-bowel disorders. Gastrointest Endosc. 2010;72(5):992–8.
Nagula S, Gaidos J, Draganov PV, Bucobo JC, Cho B, Hernandez Y, et al. Retrograde spiral enteroscopy: Feasibility, success, and safety in a series of 22 patients. Gastrointest Endosc. 2011;74(3):699–702.
Akerman PA, Agrawal D, Cantero D, Pangtay J. Spiral enteroscopy with the new dsb overtube: A novel technique for deep peroral small-bowel intubation. Endoscopy. 2008;40(12):974–8.
May A, Nachbar L, Schneider M, Neumann M, Ell C. Push-and-pull enteroscopy using the double-balloon technique: Method of assessing depth of insertion and training of the enteroscopy technique using the erlangen endo-trainer. Endoscopy. 2005;37(1):66–70.
Buscaglia JM, Richards R, Wilkinson MN, Judah JR, Lam Y, Nagula S, et al. Diagnostic yield of spiral enteroscopy when performed for the evaluation of abnormal capsule endoscopy findings. J Clin Gastroenterol. 2011;45(4):342–6.
Chiorean M, Upchurch B, Draganov P, Morgan D, Binmoeller KF, Haluszka O, et al. Spiral enteroscopy: Predictors of depth of insertion from the prospective multicenter U.S. Study. Gastroenterology. 2009;136(S1):S1514.
Rahmi G, Samaha E, Vahedi K, Ponchon T, Fumex F, Filoche B, et al. Multicenter comparison of double-balloon enteroscopy and spiral enteroscopy. J Gastroenterol Hepatol. 2013;28(6):992–8.
Khashab MA, Lennon AM, Dunbar KB, Singh VK, Chandrasekhara V, Giday S, et al. A comparative evaluation of single-balloon enteroscopy and spiral enteroscopy for patients with mid-gut disorders. Gastrointest Endosc. 2010;72(4):766–72.
Messer I, May A, Manner H, Ell C. Prospective, randomized, single-center trial comparing double-balloon enteroscopy and spiral enteroscopy in patients with suspected small-bowel disorders. Gastrointest Endosc. 2013;77(2):241–9.
Buscaglia JM, Dunbar KB, Okolo 3rd PI, Judah J, Akerman PA, Cantero D, et al. The spiral enteroscopy training initiative: Results of a prospective study evaluating the discovery sb overtube device during small bowel enteroscopy (with video). Endoscopy. 2009;41(3):194–9.
Akerman PA, Agrawal D, Chen W, Cantero D, Avila J, Pangtay J. Spiral enteroscopy: A novel method of enteroscopy by using the endo-ease discovery sb overtube and a pediatric colonoscope. Gastrointest Endosc. 2009;69(2):327–32.
May A, Manner H, Aschmoneit I, Ell C. Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations. Endoscopy. 2011;43(6):477–83.
Frieling T, Heise J, Sassenrath W, Hulsdonk A, Kreysel C. Prospective comparison between double-balloon enteroscopy and spiral enteroscopy. Endoscopy. 2010;42(11):885–8.
Akerman PA, Cantero D. Severe complications of spiral enteroscopy in the first 1750 patients. Gastrointestinal endoscopy. 2009(DDW09): Abstract.
Welch AR, Moyer MT, Dye CE, Skonier-Baer H, Mathew A. A single-center experience with spiral enteroscopy: A note of caution. Gastrointest Endosc. 2012;75(5):1125–6.
Teshima CW, Aktas H, Kuipers EJ, Mensink PB. Hyperamylasemia and pancreatitis following spiral enteroscopy. Can J Gastroenterol [Journal canadien de gastroenterologie]. 2012; 26(9):603–6
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Endoscopic view of the small bowel during anterograde spiral enteroscopy. Note the steady progression of the scope with minimal gas distention to allow a good grasp of the spiral on the bowel wall to facilitate advancement. Water can also be injected through the channel when more luminal distention is desired. Video used with permission of Spirus Medical LLC (AVI 55839 kb)
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Chiorean, M. (2015). Spiral Enteroscopy: Technique, Diagnostic and Therapeutic Yield and Application in Small Bowel Crohn’s Disease. In: Kozarek, R., Chiorean, M., Wallace, M. (eds) Endoscopy in Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-11077-6_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-11077-6_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-11076-9
Online ISBN: 978-3-319-11077-6
eBook Packages: MedicineMedicine (R0)