CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2022; 13(02): 096-105
DOI: 10.1055/s-0042-1750133
Technical Review

Power Spiral Enteroscopy: A Quick and Powerful Dive Deep Inside the Small Bowel!

1   Department of Gastroenterology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
,
Vasanthika Imandi
1   Department of Gastroenterology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
,
Sudhanva V. Kinhal
1   Department of Gastroenterology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
,
Sridhar Sundharam
2   Department of Gastroenterology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
3   Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
,
Sneha Shanthi Didchela
4   Department of Anesthesia, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
,
Swetha Hanumanthu
5   Department of Pathology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
,
Raja Mahesh Kunchala
5   Department of Pathology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
,
Amninder Singh
1   Department of Gastroenterology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India
› Author Affiliations

Abstract

A comprehensive and detailed small bowel evaluation became possible since 2001 with the advent of a wireless capsule endoscope that was primarily used for diagnostic purposes. Simultaneously, the development of balloon-assisted enteroscope made detailed evaluation and therapy possible in the deeper small bowel. A novel motorized spiral enteroscope, introduced in 2015, is the most recent addition to the list of device-assisted enteroscopes. The rotational movements of the spiral overtube controlled by the integrated motor are transmitted into a linear force causing forward and backward propulsion of the scope in the bowel. There is emerging evidence about its safety and efficacy in the diagnosis and therapy of various small bowel diseases.



Publication History

Article published online:
05 July 2022

© 2022. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Iddan G, Meron G, Glukhovsky A, Swain P. Wireless capsule endoscopy. Nature 2000; 405 (6785): 417
  • 2 Yamamoto H, Sekine Y, Sato Y. et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc 2001; 53 (02) 216-220
  • 3 Hartmann D, Eickhoff A, Tamm R, Riemann JF. Balloon-assisted enteroscopy using a single-balloon technique. Endoscopy 2007; 39 (Suppl. 01) E276
  • 4 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) 974-978
  • 5 Kumbhari V, Storm AC, Khashab MA. et al. Deep enteroscopy with standard endoscopes using a novel through-the-scope balloon. Endoscopy 2014; 46 (08) 685-689
  • 6 Pennazio M, Spada C, Eliakim R. et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47 (04) 352-376
  • 7 Zhao L, Yin AN, Liao F, Ding YJ, Yu HG. Achieving total enteroscopy by consecutive bidirectional double-balloon enteroscopy procedures. Curr Med Sci 2022; 42 (01) 144-149
  • 8 Neuhaus H, Beyna T, Schneider M, Devière J. Novel motorized spiral enteroscopy: first clinical case. VideoGIE 2016; 1 (02) 32-33
  • 9 Beyna T, Arvanitakis M, Schneider M. et al. Motorised spiral enteroscopy: first prospective clinical feasibility study. Gut 2021; 70 (02) 261-267
  • 10 Ramchandani M, Rughwani H, Inavolu P. et al. Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders: a single-center, real-world experience from a tertiary care hospital (with video). Gastrointest Endosc 2021; 93 (03) 616-626
  • 11 Prasad M, Prasad VGM, Sangameswaran A. et al. A spiraling journey into the small bowel: a case series of novel motorized power spiral enteroscopies. VideoGIE 2020; 5 (11) 591-596
  • 12 Beyna T, Arvanitakis M, Schneider M. et al. Total motorized spiral enteroscopy: first prospective clinical feasibility trial. Gastrointest Endosc 2021; 93 (06) 1362-1370
  • 13 Giordano A, Pino YVD, Escapa M. et al. Preliminary experience with the novel motorized spiral enteroscope (powerspiral) for small bowel diseases. Endoscopy 2020; 52: OP121
  • 14 González-Suárez B, Giordano A, Llach J. Are we experiencing a technological revolution? The novel motorized PowerSpiral enteroscope (PSE): a case of total oral enteroscopy. Rev Esp Enferm Dig 2020; 112 (04) 331
  • 15 González-Suárez B, Giordano A, Escapa M, Llach J. Complete anterograde small-bowel exploration with the novel motorized spiral enteroscope. VideoGIE 2020; 5 (11) 517-518
  • 16 Rodge GA, Ramchandani M, Bharat Shah B, Afzalpurkar S, Bhageerath Raj D, Goenka MK. Hemoclips during motorized spiral enteroscopy-A unique case. Indian J Gastroenterol 2021; 40 (03) 344-346
  • 17 Inavolu P, Singh AP, Kanakagiri H, Reddy DN, Ramchandani M. Motorized spiral enteroscope-assisted retrieval of video capsule in a patient with Crohn's disease. VideoGIE 2020; 5 (10) 488-491
  • 18 Steiner E, Mayer A, Maieron A. Motorized spiral enteroscopy—when things happen: troubleshooting spiral disconnection at 90 minutes into the enteroscopic procedure. Endoscopy 2021; (e-pub ahead of print) DOI: 10.1055/a-1532-1639.
  • 19 Mans L, Arvanitakis M, Neuhaus H, Devière J. Motorized spiral enteroscopy for occult bleeding. Dig Dis 2018; 36 (04) 325-327
  • 20 Beyna T, Schneider M, Höllerich J, Neuhaus H. Motorized spiral enteroscopy-assisted ERCP after Roux-en-Y reconstructive surgery and bilioenteric anastomosis: first clinical case. VideoGIE 2020; 5 (07) 311-313
  • 21 Viesca MFY, D'Haene N, Arvanitakis M. Recurrent anemia and hematochezia: when total enteroscopy with motorized spiral enteroscopy gives the answer. Gastroenterology 2021; 160 (01) e6-e8
  • 22 Tang RSY, Wong MTL, Lai JCT, Chiu PWY. Total enteroscopy by antegrade motorized spiral enteroscopy under conscious sedation for acute overt obscure gastrointestinal bleeding. Endoscopy 2020; 52 (07) E251-E252
  • 23 Beyna T, Schneider M, Pullmann D, Gerges C, Kandler J, Neuhaus H. Motorized spiral colonoscopy: a first single-center feasibility trial. Endoscopy 2018; 50 (05) 518-523